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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Resource Profile: 基因定序檢測報告-DiagnosticReport TWNGS

此基因定序檢測報告-DiagnosticReport TWNGSS Profile說明本IG如何進一步定義FHIR的DiagnosticReport Resource以呈現健保次世代基因定序檢測報告

Usages:

• Use this Profile: 次世代基因定序檢測-Bundle TWNGS
• Refer to this Profile: 基因定序檢測證明文件-Composition TWNGS
• Examples for this Profile: DiagnosticReport/dia-lung-min, DiagnosticReport/dia-min and DiagnosticReport/dia-nos-min
• CapabilityStatements using this Profile: 臺灣次世代基因定序檢測-用戶端(TWNGS Client) and 臺灣次世代基因定序檢測-伺服端(TWNGS Server)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	費用年月
performer	Σ	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.code	preferred	Pattern Value: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject		0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..1	dateTime	費用年月
performer		1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	費用年月
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	Pattern Value: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 基因定序檢測申請項目-ServiceRequest TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/ServiceRequest-twngs)
• 病人資訊-Patient TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Patient-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Organization-gene-twngs)
• 基因資訊-Observation TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs)

Extensions

This structure refers to these extensions:

• https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	費用年月
performer	Σ	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.code	preferred	Pattern Value: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport			DiagnosticReport
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
code		1..1	CodeableConcept	Name/Code for this diagnostic report Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
subject		0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
Slices for effective[x]		1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..1	dateTime	費用年月
performer		1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	疾病資訊 Slice: Unordered, Open by value:url
extension:condition	S	1..1	Reference(基因定序檢測報告之疾病資訊-Condition TWNGS)	Extension URL: https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn	S	1..*	Reference(基因定序檢測申請項目-ServiceRequest TWNGS)	基因定序檢測申請項目
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..*	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
code	Σ	1..1	CodeableConcept	Name/Code for this diagnostic report Binding: LOINCDiagnosticReportCodes (preferred): Codes that describe Diagnostic Reports. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 51969-4
display		1..1	string	Representation defined by the system Fixed Value: Genetic analysis report
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
subject	Σ	0..1	Reference(病人資訊-Patient TWNGS)	病人資訊
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
Slices for effective[x]	Σ	1..1	dateTime	Clinically relevant time/time-period for report Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	費用年月
issued	Σ	0..1	instant	DateTime this version was made
performer	Σ	1..1	Reference(基因檢測機構-Organization Gene TWNGS)	基因檢測機構
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		1..*	Reference(基因資訊-Observation TWNGS)	基因資訊
imagingStudy		0..*	Reference(ImagingStudy)	Reference to full details of imaging associated with the diagnostic report
media	Σ	0..*	BackboneElement	Key images associated with this report
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
comment		0..1	string	Comment about the image (e.g. explanation)
link	Σ	1..1	Reference(Media)	Reference to the image source
conclusion		0..1	string	Clinical conclusion (interpretation) of test results
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm		0..*	Attachment	Entire report as issued
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DiagnosticReport.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DiagnosticReport.status	required	DiagnosticReportStatus http://hl7.org/fhir/ValueSet/diagnostic-report-status|4.0.1 From the FHIR Standard
DiagnosticReport.category	example	DiagnosticServiceSectionCodes http://hl7.org/fhir/ValueSet/diagnostic-service-sections From the FHIR Standard
DiagnosticReport.code	preferred	Pattern Value: LOINC Code 51969-4("Genetic analysis report") http://hl7.org/fhir/ValueSet/report-codes From the FHIR Standard
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	DiagnosticReport	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DiagnosticReport	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	DiagnosticReport	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DiagnosticReport	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• 基因定序檢測申請項目-ServiceRequest TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/ServiceRequest-twngs)
• 病人資訊-Patient TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Patient-twngs)
• 基因檢測機構-Organization Gene TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Organization-gene-twngs)
• 基因資訊-Observation TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Observation-twngs)

Extensions

This structure refers to these extensions:

• https://nhicore.nhi.gov.tw/ngs/StructureDefinition/extension-DiagnosticReport-condition

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of DiagnosticReport.effective[x]

Other representations of profile: CSV, Excel, Schematron