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 - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="obs-diagnostic-min"/>
      <meta>
        <profile
                 value="https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-diagnostic-twpas"/>
      </meta>
      <text>
        <status value="generated"/>
        <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>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type"/>
          <code value="geneInfo"/>
        </coding>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="69548-6"/>
        </coding>
      </code>
      <subject>🔗
        <reference value="Patient/pat-min"/>
      </subject>
      <effectiveDateTime value="2024-05-07"/>
      <performer>🔗
        <reference value="Organization/org-gene-example"/>
      </performer>
      <valueString value="基因檢測報告結果"/>
      <interpretation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
          <code value="POS"/>
        </coding>
      </interpretation>
      <method>
        <coding>
          <system value="http://loinc.org"/>
          <code value="LA26418-6"/>
        </coding>
      </method>
      <specimen>🔗
        <reference value="Specimen/spe-min"/>
      </specimen>
      <derivedFrom>🔗
        <reference value="DocumentReference/doc-gene-min"/>
      </derivedFrom>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="21702-6"/>
          </coding>
        </code>
        <valueString
                     value="KRAS 12 mutation: Not Detected, KRAS 13 mutation: Not Detected, KRAS 61 mutation: Not Detected"/>
        <interpretation>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA11883-8"/>
            <display value="Not detected"/>
          </coding>
          <text value="Not detected"/>
        </interpretation>
      </component>
    </Observation>