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: 基因檢測檢體-Specimen TWPAS

Official URL: https://nhicore.nhi.gov.tw/pas/StructureDefinition/Specimen-twpas Version: 1.0.3
Active as of 2025-05-05 Computable Name: SpecimenTWPAS

此基因檢測檢體-Specimen TWPAS Profile說明本IG如何進一步定義臺灣核心-檢體(TW Core Specimen) Profile以呈現癌藥事前審查中基因資訊之檢測檢體相關內容

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Specimen 0..* TWCoreSpecimen 用於分析的檢體
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 創建此內容所依據的一組規則
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
... identifier SΣ 0..* Identifier 檢體的外部識別碼
ele-1: All FHIR elements must have a @value or children
... type S 1..1 CodeableConceptTW 基因檢測檢體類型
Binding: LOINC-健保事前審查-基因檢測檢體類型值集 (required)
ele-1: All FHIR elements must have a @value or children
... subject SΣ 1..1 Reference(病人資訊-Patient TWPAS) 檢體取自哪邊？檢體的來源可能有幾種，它可能來自病人，來自某個地方（例如：從環境中取得的樣本），或者是對某種物質或設備的抽樣。
ele-1: All FHIR elements must have a @value or children
... receivedTime SΣ 1..1 dateTime 基因檢測日期
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Specimen.statusrequiredSpecimenStatus
http://hl7.org/fhir/ValueSet/specimen-status|4.0.1
from the FHIR Standard
Specimen.typerequiredSpecimenType
https://nhicore.nhi.gov.tw/pas/ValueSet/specime-type
from this IG

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorSpecimenIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorSpecimenIf 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-4errorSpecimenIf 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-5errorSpecimenIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceSpecimenA 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()

 

Other representations of profile: CSV, Excel, Schematron