This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.3: 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

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Resource Profile: 檢查報告-DiagnosticReport TWPAS

此檢查報告-DiagnosticReport TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現癌藥事前審查中疾病資訊之檢查報告

Usage:

• Use this Resource Profile: 事前審查-Bundle TWPAS
• Refer to this Resource Profile: 事前審查-Claim TWPAS
• Examples for this Resource Profile: DiagnosticReport/diaRep-min
• CapabilityStatements using this Resource Profile: 臺灣癌藥事前審查-用戶端(TWPAS Client) and 臺灣癌藥事前審查-伺服端(TWPAS Server)

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
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports 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
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 | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (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 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
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 Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	檢體種類 ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師 ele-1: All FHIR elements must have a @value or children
conclusion	S	1..1	string	報告結果-文數字，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。 ele-1: All FHIR elements must have a @value or children
presentedForm	SC	0..*	Attachment	報告結果-MIMEType ele-1: All FHIR elements must have a @value or children UploadContent: 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
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ele-1: All FHIR elements must have a @value or children Example General: text/plain; charset=UTF-8, image/png
url	SΣ	1..1	url	檢查報告（請填寫完整檔案路徑） ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
title	SΣ	0..1	string	檢查報告名稱 ele-1: All FHIR elements must have a @value or children Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG
DiagnosticReport.presentedForm.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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	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()
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
category		0..1	CodeableConcept	Service category
coding		1..1	Coding	Code defined by a terminology system
code	C	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system
text		0..1	string	檢體種類
subject		1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
effective[x]	S	1..1	dateTime	報告日期，YYYY-MM-DD
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	1..1	string	報告結果-文數字，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。
presentedForm	SC	0..*	Attachment	報告結果-MIMEType UploadContent: 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
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	url	檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	0..1	string	檢查報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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}$')
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	Observations
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	S	1..1	string	報告結果-文數字，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。
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	SC	0..*	Attachment	報告結果-MIMEType UploadContent: 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
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	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
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	檢查報告（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	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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	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()
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport		0..*	DiagnosticReport	A Diagnostic report - a combination of request information, atomic results, images, interpretation, as well as formatted reports 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
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 | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report. ele-1: All FHIR elements must have a @value or children
category	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections. 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
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (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 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
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 Required Pattern: http://loinc.org
code	Σ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
text	Σ	0..1	string	檢體種類 ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD ele-1: All FHIR elements must have a @value or children
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師 ele-1: All FHIR elements must have a @value or children
conclusion	S	1..1	string	報告結果-文數字，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。 ele-1: All FHIR elements must have a @value or children
presentedForm	SC	0..*	Attachment	報告結果-MIMEType ele-1: All FHIR elements must have a @value or children UploadContent: 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
contentType	SΣ	1..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. ele-1: All FHIR elements must have a @value or children Example General: text/plain; charset=UTF-8, image/png
url	SΣ	1..1	url	檢查報告（請填寫完整檔案路徑） ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/logo-small.png Example General: file://PathologyReport01.pdf
title	SΣ	0..1	string	檢查報告名稱 ele-1: All FHIR elements must have a @value or children Example General: Official Corporate Logo
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
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	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG
DiagnosticReport.presentedForm.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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	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()
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

Differential View

This structure is derived from DiagnosticReport

Name	Flags	Card.	Type	Description & Constraints
DiagnosticReport			DiagnosticReport
category		0..1	CodeableConcept	Service category
coding		1..1	Coding	Code defined by a terminology system
code	C	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system
text		0..1	string	檢體種類
subject		1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
effective[x]	S	1..1	dateTime	報告日期，YYYY-MM-DD
performer	S	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
conclusion	S	1..1	string	報告結果-文數字，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。
presentedForm	SC	0..*	Attachment	報告結果-MIMEType UploadContent: 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
contentType	S	1..1	code	Mime type of the content, with charset etc.
url	S	1..1	url	檢查報告（請填寫完整檔案路徑） Example General: file://PathologyReport01.pdf
title	S	0..1	string	檢查報告名稱
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
DiagnosticReport.code	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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}$')
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier for report
basedOn		0..*	Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	What was requested
status	?!Σ	1..1	code	registered | partial | preliminary | final + Binding: DiagnosticReportStatus (required): The status of the diagnostic report.
category	Σ	0..1	CodeableConcept	Service category Binding: DiagnosticServiceSectionCodes (example): Codes for diagnostic service sections.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
code	ΣC	1..1	CodeableConcept	報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。 Binding: LOINC-健保事前審查-報告類型值集 (extensible): 最新參考代碼清單請參考此檔案。 speType: 當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: http://loinc.org
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	檢體種類
subject	Σ	1..1	Reference(病人資訊-Patient TWPAS)	The subject of the report - usually, but not always, the patient
encounter	Σ	0..1	Reference(Encounter)	Health care event when test ordered
effective[x]	SΣ	1..1	dateTime	報告日期，YYYY-MM-DD
issued	Σ	0..1	instant	DateTime this version was made
performer	SΣ	1..1	Reference(醫事人員-Practitioner TWPAS)	檢查報告醫師
resultsInterpreter	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam)	Primary result interpreter
specimen		0..*	Reference(Specimen)	Specimens this report is based on
result		0..*	Reference(Observation)	Observations
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	S	1..1	string	報告結果-文數字，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。
conclusionCode		0..*	CodeableConcept	Codes for the clinical conclusion of test results Binding: SNOMEDCTClinicalFindings (example): Diagnosis codes provided as adjuncts to the report.
presentedForm	SC	0..*	Attachment	報告結果-MIMEType UploadContent: 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
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	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Example General: text/plain; charset=UTF-8, image/png
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	檢查報告（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	0..1	string	檢查報告名稱 Example General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	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	extensible	ReportType https://nhicore.nhi.gov.tw/pas/ValueSet/report-type from this IG
DiagnosticReport.conclusionCode	example	SNOMEDCTClinicalFindings http://hl7.org/fhir/ValueSet/clinical-findings from the FHIR Standard
DiagnosticReport.presentedForm.contentType	required	Mime Types (a valid code from urn:ietf:bcp:13) http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard
DiagnosticReport.presentedForm.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Constraints

Id	Grade	Path(s)	Details	Requirements
UploadContent	error	DiagnosticReport.presentedForm	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	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()
speType	error	DiagnosticReport.code	當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填 : (coding.exists(code='47526-9')) implies (text.exists())

This structure is derived from DiagnosticReport

Summary

Mandatory: 7 elements(3 nested mandatory elements)
Must-Support: 7 elements

Structures

This structure refers to these other structures:

• 病人資訊-Patient TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas)
• 醫事人員-Practitioner TWPAS (https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas)

Other representations of profile: CSV, Excel, Schematron