臺灣健保癌症用藥事前審查實作指引
1.0.2 - release
臺灣健保癌症用藥事前審查實作指引
1.0.2 - release
This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.2: Release) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.4. For a full list of available versions, see the Directory of published versions
| Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-cancer-stage-twpas | Version: 1.0.2 | |||
| Active as of 2025-04-25 | Computable Name: ObservationCancerStageTWPAS | |||
此癌症分期量表-Observation Cancer Stage 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中疾病資訊之癌症分期量表相關資料
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation |
C | 0..* | Observation | Measurements and simple assertions dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!Σ | 1..1 | code | registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. ele-1: All FHIR elements must have a @value or children |
  category |
1..1 | CodeableConcept | 因設計而須必填。 Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. ele-1: All FHIR elements must have a @value or children 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: https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: cancerStage | |
| code |
SΣ | 1..1 | CodeableConcept | 癌症分期量表項目 Binding: SCT + NCI-健保事前審查-癌症分期量表項目值集 (extensible): 最新參考代碼清單請參考此檔案。 ele-1: All FHIR elements must have a @value or children |
| coding |
Σ | 1..1 | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | Identity of the terminology system ele-1: All FHIR elements must have a @value or children |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children |
 subject |
SΣ | 1..1 | Reference(病人資訊-Patient TWPAS) | Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children |
 Slices for effective[x] |
Σ | 1..1 | dateTime | Clinically relevant time/time-period for observation Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
  effective[x]:effectiveDateTime |
SΣ | 1..1 | dateTime | 癌症分期量表評估日期，YYYY-MM-DD，西元年月日。 ele-1: All FHIR elements must have a @value or children |
| performer |
SΣ | 1..1 | Reference(醫事人員-Practitioner TWPAS) | 簽發癌症分期報告醫師 ele-1: All FHIR elements must have a @value or children |
| Slices for value[x] |
SΣC | 1..1 | Actual result Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children | |
 valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueInteger |
integer | |||
| value[x]:valueCodeableConcept |
SΣC | 0..1 | CodeableConcept | 癌症分期分數或結果。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。 Binding: NCI-健保事前審查-FIGO癌症分期量表結果值集 (required) ele-1: All FHIR elements must have a @value or children |
| value[x]:valueString |
SΣC | 0..1 | string | Actual result ele-1: All FHIR elements must have a @value or children |
| value[x]:valueInteger |
SΣC | 0..1 | integer | Actual result ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Observation.status | required | ObservationStatushttp://hl7.org/fhir/ValueSet/observation-status|4.0.1from the FHIR Standard | |
| Observation.category | preferred | Pattern: cancerStagehttp://hl7.org/fhir/ValueSet/observation-categoryfrom the FHIR Standard | |
| Observation.code | extensible | CancerStagehttps://nhicore.nhi.gov.tw/pas/ValueSet/cancer-stagefrom this IG | |
| Observation.value[x]:valueCodeableConcept | required | CancerStageScore (a valid code from NCI 健保事前審查-Thesaurus)https://nhicore.nhi.gov.tw/pas/ValueSet/cancer-stage-scorefrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Observation | 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 | Observation | 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 | Observation | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Observation | 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() | |
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty() | |
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty() |
Other representations of profile: CSV, Excel, Schematron
