臺灣健保癌症用藥事前審查實作指引
1.0.1 - release

This page is part of the 臺灣癌症用藥事前審查實作指引(TWPAS IG) (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, 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://twcore.mohw.gov.tw/ig/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>：BRCA1 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>#21636-6）</span><br/><b>基因突變類型</b>：Deletion <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>#LA6692-3）</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>：Absent <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\">(<a href=\"http://loinc.org/\">LOINC Answer List LL1971-2 </a>#LA9634-2)</span></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://twcore.mohw.gov.tw/ig/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"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "LA9634-2",
        "display" : "Absent"
      }
    ]
  },
  "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" : "21636-6"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "LA6692-3"
          }
        ]
      },
      "interpretation" : [
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "LA6692-3"
            }
          ]
        }
      ]
    }
  ]
}