# 檢驗檢查-Observation Laboratory Result TWPAS - 臺灣健保事前審查實作指引 v1.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **檢驗檢查-Observation Laboratory Result TWPAS**

## Resource Profile: 檢驗檢查-Observation Laboratory Result TWPAS 

| | |
| :--- | :--- |
| *Official URL*:https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas | *Version*:1.1.0 |
| Active as of 2025-12-29 | *Computable Name*:ObservationLaboratoryResultTWPAS |

 
此檢驗檢查-Observation Laboratory Result TWPAS Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result) Profile以呈現事前審查中評估資訊之檢驗(查)相關資料 

**Usages:**

* Use this Profile: [免疫製劑事前審查-Bundle Immunologic Aagent TWPAS](StructureDefinition-Bundle-immunologic-agent-twpas.md) and [癌藥事前審查-Bundle TWPAS](StructureDefinition-Bundle-twpas.md)
* Refer to this Profile: [免疫製劑事前審查-Claim Immunologic Aagent TWPAS](StructureDefinition-Claim-immunologic-agent-twpas.md) and [癌藥事前審查-Claim TWPAS](StructureDefinition-Claim-twpas.md)
* Examples for this Profile: [Observation/obs-lab-cbc](Observation-obs-lab-cbc.md) and [Observation/obs-lab-min](Observation-obs-lab-min.md)
* CapabilityStatements using this Profile: [臺灣事前審查-用戶端(TWPAS Client)](CapabilityStatement-CapabilityStatementTWPASClient.md) and [臺灣事前審查-伺服端(TWPAS Server)](CapabilityStatement-CapabilityStatementTWPASServer.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/tw.gov.mohw.nhi.pas|current/StructureDefinition/Observation-laboratory-result-twpas)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-Observation-laboratory-result-twpas.csv), [Excel](StructureDefinition-Observation-laboratory-result-twpas.xlsx), [Schematron](StructureDefinition-Observation-laboratory-result-twpas.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "Observation-laboratory-result-twpas",
  "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas",
  "version" : "1.1.0",
  "name" : "ObservationLaboratoryResultTWPAS",
  "title" : "檢驗檢查-Observation Laboratory Result TWPAS",
  "status" : "active",
  "date" : "2025-12-29T22:41:30+08:00",
  "publisher" : "衛生福利部中央健康保險署",
  "contact" : [
    {
      "name" : "衛生福利部中央健康保險署",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nhi.gov.tw"
        }
      ]
    }
  ],
  "description" : "此檢驗檢查-Observation Laboratory Result TWPAS Profile說明本IG如何進一步定義臺灣核心-檢驗檢查(TW Core Observation Laboratory Result) Profile以呈現事前審查中評估資訊之檢驗(查)相關資料",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "identity" : "sct-concept",
      "uri" : "http://snomed.info/conceptdomain",
      "name" : "SNOMED CT Concept Domain Binding"
    },
    {
      "identity" : "v2",
      "uri" : "http://hl7.org/v2",
      "name" : "HL7 v2 Mapping"
    },
    {
      "identity" : "rim",
      "uri" : "http://hl7.org/v3",
      "name" : "RIM Mapping"
    },
    {
      "identity" : "w5",
      "uri" : "http://hl7.org/fhir/fivews",
      "name" : "FiveWs Pattern Mapping"
    },
    {
      "identity" : "sct-attr",
      "uri" : "http://snomed.org/attributebinding",
      "name" : "SNOMED CT Attribute Binding"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "constraint" : [
          {
            "key" : "lab-result",
            "severity" : "error",
            "human" : "至少填寫檢驗(查)結果(value[x])或套組中的檢驗(查)結果(component.value[x])",
            "expression" : "value.exists() or component.value.exists()",
            "source" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas"
          }
        ]
      },
      {
        "id" : "Observation.meta",
        "path" : "Observation.meta",
        "min" : 1
      },
      {
        "id" : "Observation.meta.profile",
        "path" : "Observation.meta.profile",
        "min" : 1,
        "max" : "1",
        "patternCanonical" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Observation-laboratory-result-twpas"
      },
      {
        "id" : "Observation.category",
        "path" : "Observation.category",
        "short" : "因FHIR設計而需必填",
        "min" : 1,
        "max" : "1",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type",
              "code" : "tests"
            }
          ]
        }
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "short" : "檢驗(查)名稱或套組代碼",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
        }
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "short" : "檢驗(查)報告日期",
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.performer",
        "path" : "Observation.performer",
        "short" : "簽發檢驗(查)報告醫事人員身分證號",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "short" : "檢驗(查)結果。若有多筆結果值，請以valueString並使用半形「;」符號分隔呈現。",
        "mustSupport" : true
      },
      {
        "id" : "Observation.interpretation",
        "path" : "Observation.interpretation",
        "short" : "檢驗(查)結果判讀",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange",
        "path" : "Observation.referenceRange",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange.low",
        "path" : "Observation.referenceRange.low",
        "short" : "檢驗(查)結果之參考範圍下限",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange.high",
        "path" : "Observation.referenceRange.high",
        "short" : "檢驗(查)結果之參考範圍上限",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange.type",
        "path" : "Observation.referenceRange.type",
        "short" : "檢驗(查)結果之參考範圍類型",
        "mustSupport" : true
      },
      {
        "id" : "Observation.referenceRange.text",
        "path" : "Observation.referenceRange.text",
        "short" : "檢驗(查)結果之參考範圍說明",
        "mustSupport" : true
      },
      {
        "id" : "Observation.derivedFrom",
        "path" : "Observation.derivedFrom",
        "short" : "檢驗(查)附件",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/DocumentReference-twpas"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "short" : "套組中的檢驗",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.code",
        "path" : "Observation.component.code",
        "short" : "檢驗(查)名稱",
        "mustSupport" : true,
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
        }
      },
      {
        "id" : "Observation.component.value[x]",
        "path" : "Observation.component.value[x]",
        "short" : "檢驗(查)結果。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。",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.interpretation",
        "path" : "Observation.component.interpretation",
        "short" : "檢驗(查)結果判讀。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。",
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange",
        "path" : "Observation.component.referenceRange",
        "max" : "1",
        "type" : [
          {
            "code" : "BackboneElement"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange.low",
        "path" : "Observation.component.referenceRange.low",
        "short" : "檢驗(查)結果之參考範圍下限",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange.high",
        "path" : "Observation.component.referenceRange.high",
        "short" : "檢驗(查)結果之參考範圍上限",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange.type",
        "path" : "Observation.component.referenceRange.type",
        "short" : "檢驗(查)結果之參考範圍類型",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component.referenceRange.text",
        "path" : "Observation.component.referenceRange.text",
        "short" : "檢驗(查)結果之參考範圍說明",
        "mustSupport" : true
      }
    ]
  }
}

```
