# 檢查報告-DiagnosticReport TWPAS - 臺灣健保事前審查實作指引 v1.1.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **檢查報告-DiagnosticReport TWPAS**

## Resource Profile: 檢查報告-DiagnosticReport TWPAS 

| | |
| :--- | :--- |
| *Official URL*:https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas | *Version*:1.1.1 |
| Active as of 2026-02-02 | *Computable Name*:DiagnosticReportTWPAS |

 
此檢查報告-DiagnosticReport TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現事前審查中疾病資訊之檢查報告 

**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: [DiagnosticReport/diaRep-min](DiagnosticReport-diaRep-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/DiagnosticReport-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-DiagnosticReport-twpas.csv), [Excel](StructureDefinition-DiagnosticReport-twpas.xlsx), [Schematron](StructureDefinition-DiagnosticReport-twpas.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "DiagnosticReport-twpas",
  "url" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas",
  "version" : "1.1.1",
  "name" : "DiagnosticReportTWPAS",
  "title" : "檢查報告-DiagnosticReport TWPAS",
  "status" : "active",
  "date" : "2026-02-02T09:09:58+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" : "此檢查報告-DiagnosticReport TWPAS Profile說明本IG如何進一步定義臺灣核心-診斷報告(TW Core DiagnosticReport) Profile以呈現事前審查中疾病資訊之檢查報告",
  "fhirVersion" : "4.0.1",
  "mapping" : [
    {
      "identity" : "workflow",
      "uri" : "http://hl7.org/fhir/workflow",
      "name" : "Workflow Pattern"
    },
    {
      "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"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DiagnosticReport",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "DiagnosticReport.meta",
        "path" : "DiagnosticReport.meta",
        "min" : 1
      },
      {
        "id" : "DiagnosticReport.meta.profile",
        "path" : "DiagnosticReport.meta.profile",
        "min" : 1,
        "max" : "1",
        "patternCanonical" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas"
      },
      {
        "id" : "DiagnosticReport.category",
        "path" : "DiagnosticReport.category",
        "min" : 1,
        "max" : "1",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "https://nhicore.nhi.gov.tw/pas/CodeSystem/nhi-supporting-info-type",
              "code" : "examinationReport"
            }
          ]
        }
      },
      {
        "id" : "DiagnosticReport.category.coding",
        "path" : "DiagnosticReport.category.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "DiagnosticReport.code",
        "path" : "DiagnosticReport.code",
        "short" : "報告類型，當LOINC無法具體描述檢體種類（例如：`47526-9`時），請填寫及補充說明檢體種類(code.text)。",
        "constraint" : [
          {
            "key" : "speType",
            "severity" : "error",
            "human" : "當報告類型(code.coding.code)為`47526-9`時，檢體種類(code.text)必填",
            "expression" : "(coding.exists(code='47526-9')) implies (text.exists())",
            "source" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "description" : "最新參考代碼清單請參考[此檔案](https://www.nhi.gov.tw/ch/dl-75853-85b695304c2c447a94a55a3788019ccf-1.ods)。",
          "valueSet" : "https://nhicore.nhi.gov.tw/pas/ValueSet/report-type"
        }
      },
      {
        "id" : "DiagnosticReport.code.coding",
        "path" : "DiagnosticReport.code.coding",
        "min" : 1,
        "max" : "1"
      },
      {
        "id" : "DiagnosticReport.code.coding.system",
        "path" : "DiagnosticReport.code.coding.system",
        "min" : 1,
        "patternUri" : "http://loinc.org"
      },
      {
        "id" : "DiagnosticReport.code.coding.code",
        "path" : "DiagnosticReport.code.coding.code",
        "min" : 1
      },
      {
        "id" : "DiagnosticReport.code.text",
        "path" : "DiagnosticReport.code.text",
        "short" : "檢體種類"
      },
      {
        "id" : "DiagnosticReport.subject",
        "path" : "DiagnosticReport.subject",
        "min" : 1,
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Patient-twpas"
            ]
          }
        ]
      },
      {
        "id" : "DiagnosticReport.effective[x]",
        "path" : "DiagnosticReport.effective[x]",
        "short" : "報告日期，YYYY-MM-DD",
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "DiagnosticReport.performer",
        "path" : "DiagnosticReport.performer",
        "short" : "檢查報告醫師",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : [
              "https://nhicore.nhi.gov.tw/pas/StructureDefinition/Practitioner-twpas"
            ]
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "DiagnosticReport.conclusion",
        "path" : "DiagnosticReport.conclusion",
        "short" : "報告結果-文數字，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" : "DiagnosticReport.presentedForm",
        "path" : "DiagnosticReport.presentedForm",
        "short" : "報告結果-MIMEType",
        "constraint" : [
          {
            "key" : "UploadContent",
            "severity" : "error",
            "human" : "填寫格式：file://檔名.副檔名，例如：file://US01.jpg、file://PathologyReport01.pdf、file://GenReport01.pdf、file://王大明病歷.pdf",
            "expression" : "url.matches('^file://[a-zA-Z0-9_一-龥()-]+.[a-zA-Z]{2,5}$') and url.contains('.')",
            "source" : "https://nhicore.nhi.gov.tw/pas/StructureDefinition/DiagnosticReport-twpas"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "DiagnosticReport.presentedForm.contentType",
        "path" : "DiagnosticReport.presentedForm.contentType",
        "min" : 1,
        "mustSupport" : true
      },
      {
        "id" : "DiagnosticReport.presentedForm.url",
        "path" : "DiagnosticReport.presentedForm.url",
        "short" : "檢查報告（請填寫完整檔案路徑）",
        "min" : 1,
        "example" : [
          {
            "label" : "General",
            "valueUrl" : "file://PathologyReport01.pdf"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "DiagnosticReport.presentedForm.title",
        "path" : "DiagnosticReport.presentedForm.title",
        "short" : "檢查報告名稱",
        "mustSupport" : true
      }
    ]
  }
}

```
