臺灣健保癌症用藥事前審查實作指引
1.0.3 - release

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

Resource Profile: 治療後疾病狀態評估-Observation Treatment Assessment TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-tx-assessment-twpas Version: 1.0.3
Active as of 2025-05-05 Computable Name: ObservationTreatmentAssessmentTWPAS

此治療後疾病狀態評估-Observation Treatment Assessment 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結果資訊之治療後疾病狀態評估

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
nhi-tx-ast-value: 若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
... 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
.... coding Σ 1..1 Coding Code defined by a 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
... effective[x] SΣ 1..1 dateTime 治療後疾病狀態評估日期，YYYY-MM-DD，西元年月日。
ele-1: All FHIR elements must have a @value or children
... value[x] SΣC 1..1 string 治療後疾病狀態評估結果
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.coderequiredNHITreatmentAst (a valid code from NHI-健保事前審查-治療後疾病狀態評估項目)
https://nhicore.nhi.gov.tw/pas/ValueSet/nhi-tx-ast
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
nhi-tx-ast-valueerrorObservation若治療後疾病狀態評估項目(code)為ICLL，結果值(valueString)須填寫CR/PR/PD/SD其中一項；若治療後疾病狀態評估項目(code)為IREC，結果值(valueString)須填寫iCR/iPR/iSD/iUPD/iCPD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為MREC或REC1，結果值(valueString)須填寫CR/PR/SD/PD/inevaluable其中一項；若治療後疾病狀態評估項目(code)為IWGC，結果值(valueString)須填寫Complete remission (CR)/CR equivalent/mCR/Partial remission (PR)/Stable disease (SD)/CRL (CRuni and CRbi)/CRh/hematologic improvement (HI)/Disease Relapse/Progressive disease (PD)/Cytogenetic response/No response/Not evaluable其中一項。
: ((code.coding.exists(code='ICLL')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'PD' or value.ofType(string) = 'SD')) and ((code.coding.exists(code='IREC')) implies (value.ofType(string) = 'iCR' or value.ofType(string) = 'iPR' or value.ofType(string) = 'iSD' or value.ofType(string) = 'iUPD' or value.ofType(string) = 'iCPD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='MREC') or code.coding.exists(code='REC1')) implies (value.ofType(string) = 'CR' or value.ofType(string) = 'PR' or value.ofType(string) = 'SD' or value.ofType(string) = 'PD' or value.ofType(string) = 'inevaluable')) and ((code.coding.exists(code='IWGC')) implies (value.ofType(string) = 'Complete remission (CR)' or value.ofType(string) = 'CR equivalent' or value.ofType(string) = 'mCR' or value.ofType(string) = 'Partial remission (PR)' or value.ofType(string) = 'Stable disease (SD)' or value.ofType(string) = 'CRL (CRuni and CRbi)' or value.ofType(string) = 'CRh' or value.ofType(string) = 'hematologic improvement (HI)' or value.ofType(string) = 'Disease Relapse' or value.ofType(string) = 'Progressive disease (PD)' or value.ofType(string) = 'Cytogenetic response' or value.ofType(string) = 'No response' or value.ofType(string) = 'Not evaluable'))
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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