臺灣健保癌症用藥事前審查實作指引
1.0.8 - STU1.0.8

臺灣健保癌症用藥事前審查實作指引 - Downloaded Version 1.0.8 See the Directory of published versions

## : 基因資訊 - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "obs-diagnostic-min",
      "meta" : {
        "profile" : [
          🔗 "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Observation-diagnostic-twpas.html\">基因資訊-Observation Diagnostic TWPAS</a></p></div><p><b>狀態</b>：final</p><p><b>類型</b>：基因資訊<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-nhi-supporting-info-type.html/\">NHI-補充資訊類別值集</a>#geneInfo)</span></p><p><b>code</b>：Genetic variant assessment<span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://loinc.org/\">LOINC</a>#69548-6)</span></p><p><b>病人</b>：<a href=\"Patient-pat-min.html\">Patient/pat-min</a></p><p><b>基因檢測日期</b>：2024-05-07</p><blockquote><p><b>基因檢測代碼</b>：KRAS gene mutations found [Identifier] in Blood or Tissue by Molecular genetics method Nominal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://loinc.org/\">LOINC-基因檢測代碼值集</a>#21702-6）</span><br/><b>基因檢測實際結果</b>：KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected<br/><b>基因突變類型</b>：Not detected <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">（ <a href=\"http://loinc.org/\">LOINC-基因突變類型值集</a>#LA11883-8）</span></p></blockquote><p><b>基因檢測機構</b>：<a href=\"Organization-org-gene-example.html\">Organization 2023LDTB0002</a></p><p><b>基因檢測分析結果</b>：基因檢測報告結果</p><p><b>基因臨床判讀結果</b>：Positive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation/\">ObservationInterpretationCodes </a>#POS)</span></p><p><b>基因檢測方法</b>：PCR <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC Answer List LL4048-6 </a>#LA26418-6)</span></p><p><b>基因檢測檢體類型</b>：<a href=\"Specimen-spe-min.html\">Specimen/spe-min</a></p><p><b>基因報告</b>：<a href=\"DocumentReference-doc-gene-min.html\">DocumentReference/doc-gene-min</a></p></div>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type",
              "code" : "geneInfo"
            }
          ]
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "69548-6"
          }
        ]
      },
      "subject" : {
        🔗 "reference" : "Patient/pat-min"
      },
      "effectiveDateTime" : "2024-05-07",
      "performer" : [
        {
          🔗 "reference" : "Organization/org-gene-example"
        }
      ],
      "valueString" : "基因檢測報告結果",
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
              "code" : "POS"
            }
          ]
        }
      ],
      "method" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA26418-6"
          }
        ]
      },
      "specimen" : {
        🔗 "reference" : "Specimen/spe-min"
      },
      "derivedFrom" : [
        {
          🔗 "reference" : "DocumentReference/doc-gene-min"
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "21702-6"
              }
            ]
          },
          "valueString" : "KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected",
          "interpretation" : [
            {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "LA11883-8",
                  "display" : "Not detected"
                }
              ],
              "text" : "Not detected"
            }
          ]
        }
      ]
    }