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: 基因報告-DocumentReference TWNGS

此基因報告-DocumentReference TWNGS Profile說明本IG如何進一步定義臺灣核心-文件參照(TW Core DocumentReference) Profile以呈現次世代基因定序檢測之基因報告

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 and 基因資訊-Observation TWNGS
• Examples for this Profile: DocumentReference/doc-gene-min, DocumentReference/doc-lung-min and DocumentReference/doc-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
DocumentReference		0..*	TWCoreDocumentReference	文件的參照
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	0..1	Identifier	主版本的識別碼
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
type	S	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category	S	0..*	CodeableConceptTW	文件的類別 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
date	SΣ	0..1	instant	文件參照的創建時間是何時？
author	SΣ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
content	SΣ	1..*	BackboneElement	被參照的文件
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
contentType	SΣ	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
url	SΣ	1..1	url	基因報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
title	SΣ	1..1	string	基因報告名稱。 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.status	required	Pattern Value: current http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 From the FHIR Standard
DocumentReference.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
DocumentReference.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
DocumentReference.content.attachment.contentType	required	Pattern Value: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	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 TWCoreDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference			TWCoreDocumentReference
status		1..1	code	current | superseded | entered-in-error Required Pattern: current
subject		1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
content
attachment	SC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
contentType	S	1..1	code	報告結果-MIMEType Required Pattern: application/pdf
url	S	1..1	url	基因報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	1..1	string	基因報告名稱。
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	TWCoreDocumentReference	文件的參照
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的DocumentReference紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此DocumentReference Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述DocumentReference Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	DocumentReference Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	0..1	Identifier	主版本的識別碼
identifier	Σ	0..*	Identifier	文件的其他的識別碼
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): 基礎文件的狀態；應填入所綁定值集中的其中一個代碼。
type	S	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category	S	0..*	CodeableConceptTW	文件的類別 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
date	SΣ	0..1	instant	文件參照的創建時間是何時？
author	SΣ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
authenticator		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰/什麼對文件進行了認證
custodian		0..1	Reference(TW Core Organization)	維護此文件的機構
relatesTo	Σ	0..*	BackboneElement	與其他文件的關係
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
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 文件之間的關係類型；應填入所綁定值集中的其中一個代碼。
target	Σ	1..1	Reference(TW Core DocumentReference)	存在此關係的目標文件
description	Σ	0..1	string	人可讀的描述。
securityLabel		0..*	CodeableConceptTW	文件的安全標籤(security-tags) Binding: All Security Labels (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
content	SΣ	1..*	BackboneElement	被參照的文件
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
attachment	SΣC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	1..1	url	基因報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	1..1	string	基因報告名稱。 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
format	Σ	0..1	Coding	文件的格式/內容規則。 Binding: DocumentReferenceFormatCodeSet (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
context	Σ	0..1	BackboneElement	文件的臨床背景
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
encounter		0..*	Reference(TW Core Encounter | EpisodeOfCare)	文件內容的臨床背景
event		0..*	CodeableConceptTW	正在記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	被記錄的服務時間
facilityType		0..1	CodeableConcept	病人接受治療的機構類型 Binding: FacilityTypeCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
practiceSetting		0..1	CodeableConceptTW	內容創建的額外細節(例如：臨床專業) Binding: PracticeSettingCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
sourcePatientInfo		0..1	Reference(TW Core Patient)	來源的病人人口統計資料
related		0..*	Reference(Resource)	相關的識別碼或resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	Pattern Value: current http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 From the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
DocumentReference.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
DocumentReference.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DocumentReference.content.attachment.contentType	required	Pattern Value: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes From the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	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 TWCoreDocumentReference

Summary

Mandatory: 3 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Patient-twngs)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	TWCoreDocumentReference	文件的參照
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	0..1	Identifier	主版本的識別碼
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
type	S	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category	S	0..*	CodeableConceptTW	文件的類別 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
date	SΣ	0..1	instant	文件參照的創建時間是何時？
author	SΣ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
content	SΣ	1..*	BackboneElement	被參照的文件
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
attachment	SΣC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
contentType	SΣ	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
url	SΣ	1..1	url	基因報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
title	SΣ	1..1	string	基因報告名稱。 Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.status	required	Pattern Value: current http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 From the FHIR Standard
DocumentReference.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
DocumentReference.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
DocumentReference.content.attachment.contentType	required	Pattern Value: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	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 TWCoreDocumentReference

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference			TWCoreDocumentReference
status		1..1	code	current | superseded | entered-in-error Required Pattern: current
subject		1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
content
attachment	SC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
contentType	S	1..1	code	報告結果-MIMEType Required Pattern: application/pdf
url	S	1..1	url	基因報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	1..1	string	基因報告名稱。
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
DocumentReference		0..*	TWCoreDocumentReference	文件的參照
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的DocumentReference紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此DocumentReference Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述DocumentReference Resource內容的語言。 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Additional Bindings Purpose AllLanguages Max Binding Example Value: zh-TW
text		0..1	Narrative	DocumentReference Resource之內容摘要以供人閱讀 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
masterIdentifier	SΣ	0..1	Identifier	主版本的識別碼
identifier	Σ	0..*	Identifier	文件的其他的識別碼
status	?!SΣ	1..1	code	current | superseded | entered-in-error Binding: DocumentReferenceStatus (required): 文件參照的狀態；應填入所綁定值集中的其中一個代碼。 Required Pattern: current
docStatus	Σ	0..1	code	preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): 基礎文件的狀態；應填入所綁定值集中的其中一個代碼。
type	S	0..1	CodeableConceptTW	文件的類型（如果可能，使用 LOINC 代碼） Binding: LOINC Code Document Type值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
category	S	0..*	CodeableConceptTW	文件的類別 Binding: LOINC Document Class值集 (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
subject	SΣ	1..1	Reference(病人資訊-Patient TWNGS)	文件描述的對象是誰/是什麼？
date	SΣ	0..1	instant	文件參照的創建時間是何時？
author	SΣ	0..*	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization | Device | TW Core Patient | TW Core RelatedPerson)	誰以及/或什麼創建了文件
authenticator		0..1	Reference(TW Core Practitioner | TW Core PractitionerRole | TW Core Organization)	誰/什麼對文件進行了認證
custodian		0..1	Reference(TW Core Organization)	維護此文件的機構
relatesTo	Σ	0..*	BackboneElement	與其他文件的關係
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
code	Σ	1..1	code	replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): 文件之間的關係類型；應填入所綁定值集中的其中一個代碼。
target	Σ	1..1	Reference(TW Core DocumentReference)	存在此關係的目標文件
description	Σ	0..1	string	人可讀的描述。
securityLabel		0..*	CodeableConceptTW	文件的安全標籤(security-tags) Binding: All Security Labels (extensible): 應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
content	SΣ	1..*	BackboneElement	被參照的文件
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
attachment	SΣC	1..1	Attachment	存取文件的位置 Constraints: UploadContent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
contentType	SΣ	1..1	code	報告結果-MIMEType Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Required Pattern: application/pdf
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding Example General: en-AU
data		0..1	base64Binary	Data inline, base64ed
url	SΣ	1..1	url	基因報告（請填寫完整檔案路徑） Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	SΣ	1..1	string	基因報告名稱。 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
format	Σ	0..1	Coding	文件的格式/內容規則。 Binding: DocumentReferenceFormatCodeSet (preferred): 鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。
context	Σ	0..1	BackboneElement	文件的臨床背景
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
encounter		0..*	Reference(TW Core Encounter | EpisodeOfCare)	文件內容的臨床背景
event		0..*	CodeableConceptTW	正在記錄的主要臨床行為 Binding: v3 Code System ActCode (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
period	Σ	0..1	Period	被記錄的服務時間
facilityType		0..1	CodeableConcept	病人接受治療的機構類型 Binding: FacilityTypeCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
practiceSetting		0..1	CodeableConceptTW	內容創建的額外細節(例如：臨床專業) Binding: PracticeSettingCodeValueSet (example): 可參考所綁定值集，但此值集只是針對這個欄位的一個可能值的範例，不預期也不鼓勵使用者一定要使用此值集的代碼。
sourcePatientInfo		0..1	Reference(TW Core Patient)	來源的病人人口統計資料
related		0..*	Reference(Resource)	相關的識別碼或resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
DocumentReference.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.status	required	Pattern Value: current http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1 From the FHIR Standard
DocumentReference.docStatus	required	CompositionStatus http://hl7.org/fhir/ValueSet/composition-status|4.0.1 From the FHIR Standard
DocumentReference.type	extensible	LOINCDocumentType https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-type-doc-code
DocumentReference.category	extensible	LOINCDocumentClass https://twcore.mohw.gov.tw/ig/twcore/ValueSet/loinc-document-classcodes
DocumentReference.relatesTo.code	required	DocumentRelationshipType http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1 From the FHIR Standard
DocumentReference.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
DocumentReference.content.attachment.contentType	required	Pattern Value: application/pdf http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 From the FHIR Standard
DocumentReference.content.attachment.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
DocumentReference.content.format	preferred	DocumentReferenceFormatCodeSet(a valid code from http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem) http://hl7.org/fhir/ValueSet/formatcodes From the FHIR Standard
DocumentReference.context.event	example	ActCode http://terminology.hl7.org/ValueSet/v3-ActCode
DocumentReference.context.facilityType	example	FacilityTypeCodeValueSet http://hl7.org/fhir/ValueSet/c80-facilitycodes From the FHIR Standard
DocumentReference.context.practiceSetting	example	PracticeSettingCodeValueSet http://hl7.org/fhir/ValueSet/c80-practice-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DocumentReference.content.attachment	填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf : url.matches('^file://[a-zA-Z0-9一-龥]+.[a-zA-Z]{2,5}$')
dom-2	error	DocumentReference	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	DocumentReference	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	DocumentReference	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	DocumentReference	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	DocumentReference	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 TWCoreDocumentReference

Summary

Mandatory: 3 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWNGS (https://nhicore.nhi.gov.tw/ngs/StructureDefinition/Patient-twngs)

Other representations of profile: CSV, Excel, Schematron