# 上傳檢驗(查)結果 112年 報告資料段
### 二:報告資料段
| XML | 健保資料名稱 | 長度 | 對應的FHIR Resource | FHIR程式範例 | 備註 | diagosticreport對應 |
| -------- | -------- | -------- | -------- | -------- | -------- |-------- |
| r1 | 報告序號 | 6 | [DiagnosticReport.code](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport)| "code" : "1","display" : "報告序號", | | diagnosticReport.code |
| r2 | 檢驗項目名稱 | 100 | [Observation.code](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "display" : "癌胚胎抗原檢驗", | | DiagnosticReport.result.observation.identifier |
| r3 | 檢驗方法 | 100 | [Observation.method](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "display" : "automatic modular/hematology analyzer", | | DiagnosticReport.result.observation.method |
| r4 | 檢驗報告結果值 | 4000 | [Observation.valueCodeableConcept](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "code" : "20.0","display" : "lt", | | DiagnosticReport.result.observation.valueCodeableConcept |
| r4-1 | 檢驗結果陽陰性判斷 | 1 | [Observation.valueBoolean](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | | DiagnosticReport.result.observation.valueBoolean |
| r5 | 單位 | 50 | [Observation.valueQuantity](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "value" : 0.8,"unit" : "mg/g" |不同資料段單位不同 | DiagnosticReport.result.observation.component.valueQuantity |
| r6-1 | 參考值下限 | 1000 | [Observation.referenceRange.low](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "low" :{"value" : 90, "unit" : "mmHg"}, | 不同資料段參考值不同 | DiagnosticReport.result.observation.referenceRange.low |
| r6-2 | 參考值上限 | 1000 | [Observation.referenceRange.high](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "high" :{ "value" : 140,"unit" : "mmHg"} | | DiagnosticReport.result.observation.referenceRange.high |
| r7 | 報告結果 | 4000 | | | | |
| r8-1 | 病理發現及診斷 | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-2 | 報告結果或病理發現及診斷(一) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-3 | 報告結果或病理發現及診斷(二) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-4 | 報告結果或病理發現及診斷(三) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-5 | 報告結果或病理發現及診斷(四) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-6 | 報告結果或病理發現及診斷(五) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-7 | 報告結果或病理發現及診斷(六) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-8 | 報告結果或病理發現及診斷(七) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r8-9 | 報告結果或病理發現及診斷(八) | 4000 | [DiagnosticReport.media.comment](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "media" : [{"comment" : "病理發現及診斷:"}], | |
| r9 | 醫事人員身分證號 | 10 | [Practitioner.identifier](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Practitioner) | "code": "F230789954","display" : "身分證字號", | | diagnosticReport.resultsInterpreter.Practitioner.identifier |
| r10 | 報告日期時間 | 11 | [DiagnosticReport.effectivedatetime](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "effectiveDateTime" : "2023-02-28T06:17:10.470+00:00", | |
| r11 | 備註 | 4000 | [Observation.note](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "note" : [{"text" : "備註:"}], | | DiagnosticReport.effectivedatetime |
| r12 | 檢驗(查)結果值註記 | 1 | [ Diagnosticreport.note](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#Observation) | "valueBoolean" : 0 | (0:正常，1:異常) |
| r13 | 輻射劑量 | 4000 | | | |
| r14 |實際收到報告日期時間| 11 | [DiagnosticReport.encounter.actualPeriod](https://hackmd.io/F1bfMlVaQYKfmjOiO4-cNQ?both#DiagnosticReport) | "actualPeriod" : {"start" : "2023-03-05"} | |
#### Practitioner

{
    "resourceType" : "Practitioner",
    "identifier" : 
    [
        { 
            "use" : "official", 
            "type" : 
            { 
                "coding" : 
                [
                    {
                        "system": "https://www.nhi.gov.tw/",
                        "code": "F230789954",
                        "display" : "身分證字號",
                        "userSelected" : 1
                    }
                ], 
                "text" : "醫事人員身分證號" 
            }, 
            "assigner" : 
            { 
            
                "resourceType" : "Organization",
                "qualification" : 
                [
                    { 
                        "code" : 
                        { 
                            "coding" : 
                            [
                                { 
                                    "system" : "https://www.nhi.gov.tw/Content_List.aspx?n=07FEBAA0B8C34D90&topn=D39E2B72B0BDFA15", 
                                    "version" : "2023-03-03", 
                                    "code" : "1145010010", 
                                    "display" : "佛教慈濟醫療財團法人花蓮慈濟醫院", 
                                    "userSelected" : true
                                }
                            ], 
                            "text" : "醫院代號"
                        }
                    }
                ]
            } 
        }
    ]
}

#### Observation

{
    "resourceType" : "Observation",
    "code" : 
    { 
        "coding" :
        [
            { 
                "display" : "RF", 
                "userSelected" : 1
            },
            {  
                "display" : "Uric acid", 
                "userSelected" : 1
            },
            { 
                "display" : "Triglyceride (TG)", 
                "userSelected" : 1
            }
            
        ], 
        "text" : "檢驗項目名稱" 
    },
    "method" : 
    { 
        "coding" : 
        [
            { 
                "display" : "automatic modular/hematology analyzer", 
                "userSelected" : true
            }
        ], 
        "text" : "檢驗方法"
    },
    "valueCodeableConcept" : 
    { 
        "coding" : 
        [
            { 
                "code" : "20.0",
                "display" : "lt", 
                "userSelected" : true
            }
        ], 
        "text" : "檢驗報告結果值"
    },
    "valueQuantity" : 
    { 
        "unit" : "IU/mL"
    },
    "referenceRange" : 
    [
        { 
            "low" : 
            { 
                "value" : 30, 
                "unit" : "IU/mL"
            }, 
            "high" : 
            { 
                "value" : 10000, 
                "unit" : "mmHg"
            }
        }
    ],
    "note" : 
    [
        { 
            "text" : "備註:" 
        }
    ],
    "valueBoolean" : 0
}

#### DiagnosticReport

{
    "resourceType" : "DiagnosticReport",
    "code" : 
    { 
        "coding" : 
        [
            { 
                "code" : "1", 
                "display" : "報告序號", 
                "userSelected" : 1 
            }
        ], 
        "text" : "報告序號"
    },
    "result" : 
    [
        { 
            "resourceType" : "Observation", 
            "valueBoolean" : 0
        }   
    ],
    "media" : 
    [
        {
            "comment" : "病理發現及診斷:"   
        }
    ],
    "effectiveDateTime" : "2023-02-28T06:17:10.470+00:00",
    "encounter" : 
    { 
        "resourceType" : "Encounter",
        "actualPeriod" : 
        { 
            "start" : "2023-03-05"
        }
    }
}

參考資料:
[特約醫事服務機構上傳檢驗（查）結果格式說明](https://www.nhi.gov.tw/Content_List.aspx?n=264416706E2EF4DA&topn=5FE8C9FEAE863B46)
[FHIR hl7](https://hl7.org/fhir/)