This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: 出院病摘-特殊檢查

此Profiles繼承於臺灣核心-檢驗檢查(TW Core Observation) ，並進一步用於描述出院病摘之特殊檢查

Usage:

• Use this Resource Profile: 出院病摘-Bundle
• Refer to this Resource Profile: 出院病摘-報告文件
• Examples for this Resource Profile: Observation/DMS-Obs15

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from TWCoreObservation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。
status		1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
code	S	1..1	CodeableConceptTW	特殊檢查 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	系統定義的語法之符號
text		1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject		1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
effective[x]	S	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
Slices for value[x]		1..1	string	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this
value[x]:valueString		1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	特殊檢查 Binding: 生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
text	SΣ	1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject	Σ	1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
effective[x]	SΣ	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	string	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueString	SΣC	1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination] Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 19146-0("Referral lab test results") https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueString	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Example Value: zh-TW
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest)	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | TW Core Procedure | Immunization | ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!Σ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	特殊檢查 Binding: 生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject	Σ	1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	Σ	0..1	Reference(TW Core Encounter)	檢驗檢查是哪一次就醫時執行的
effective[x]	SΣ	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
issued	Σ	0..1	instant	此版本檢驗檢查完成的日期或時間
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	string	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueString	SΣC	1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination] Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
note		0..*	Annotation	關於此檢驗檢查之解說
bodySite		0..1	CodeableConceptTW	接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (example): 代碼說明解剖學位置，可能包含側邊；可參考SNOMEDCTBodyStructures代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
method		0..1	CodeableConceptTW	此檢驗檢查使用何種方法完成 Binding: ObservationMethods (example): 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
specimen		0..1	Reference(Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用ObservationReferenceRangeMeaningCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	參考範圍值的人群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的人群之代碼；可參考ObservationReferenceRangeAppliesToCodes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 19146-0("Referral lab test results") https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueString	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from TWCoreObservation

Summary

Mandatory: 7 elements
Must-Support: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• 出院病摘-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Differential View

This structure is derived from TWCoreObservation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。
status		1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
code	S	1..1	CodeableConceptTW	特殊檢查 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
coding		1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別
code		1..1	code	系統定義的語法之符號
text		1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject		1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
effective[x]	S	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
Slices for value[x]		1..1	string	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this
value[x]:valueString		1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	特殊檢查 Binding: 生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
text	SΣ	1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject	Σ	1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
effective[x]	SΣ	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	string	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueString	SΣC	1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination] Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 19146-0("Referral lab test results") https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueString	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	TWCoreObservation	檢驗檢查，測量及簡單的判定。 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	Σ	0..1	id	不重複的ID用以識別儲存在特定FHIR Server中的Observation紀錄，通常又稱為邏輯性ID。
meta	Σ	0..1	Meta	此Observation Resource的metadata
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	用以表述Observation Resource內容的語言 Binding: CommonLanguages (preferred): 人類語言；鼓勵使用CommonLanguages代碼表中的代碼，但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。 Example Value: zh-TW
text	S	0..1	Narrative	Observation Resource之內容摘要以供人閱讀
contained		0..*	Resource	內嵌的（contained）、行內的Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	檢驗檢查的識別碼，通常為業務目的所使用的識別碼，例如：檢驗序號或單號。
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | ServiceRequest)	依據的照護計畫／提議／醫令
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | TW Core Procedure | Immunization | ImagingStudy)	此檢驗檢查是哪個參照事件的一部分
status	?!Σ	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 診斷報告狀態；應填入DiagnosticReportStatus代碼表中的其中一個代碼 Fixed Value: final
category		0..*	CodeableConceptTW	檢驗檢查分類 Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用ObservationCategoryCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
code	S	1..1	CodeableConceptTW	特殊檢查 Binding: 生命體徵值集 (example): 應填入生命體徵值集代碼表中的其中一個代碼。 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 19146-0
display		1..1	string	Representation defined by the system Fixed Value: Referral lab test results
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	S	1..*	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號
display	SΣ	0..1	string	由系統定義的表示法
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	1..1	string	概念的文字表示法。[應填入至出院病摘特殊檢查Specific Examination]
subject	Σ	1..1	Reference(出院病摘-病人基本資料)	檢驗檢查有關的對象及（或）事物
focus	Σ	0..*	Reference(Resource)	當檢驗檢查並非有關於與病人本身，檢驗檢查是關於什麼。
encounter	Σ	0..1	Reference(TW Core Encounter)	檢驗檢查是哪一次就醫時執行的
effective[x]	SΣ	1..1	dateTime	檢驗的實際日期與時間。[應填入至出院病摘特殊檢查Specific Examination]
issued	Σ	0..1	instant	此版本檢驗檢查完成的日期或時間
performer	SΣ	0..*	Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | PractitionerRole | CareTeam)	誰負責這項檢驗檢查
Slices for value[x]	SΣC	1..1	string	檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
value[x]:valueString	SΣC	1..1	string	特殊檢查的結果值。[應填入至出院病摘特殊檢查Specific Examination] Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
dataAbsentReason	S	0..1	CodeableConceptTW	缺少檢驗檢查結果的原因 Binding: DataAbsentReason (extensible): 代碼具體說明檢驗檢查結果缺少的原因；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
note		0..*	Annotation	關於此檢驗檢查之解說
bodySite		0..1	CodeableConceptTW	接受檢驗檢查的身體部位。此為SNOMED CT代碼，若機構已有購買相關授權，亦可使用。 Binding: SNOMEDCTBodyStructures (example): 代碼說明解剖學位置，可能包含側邊；可參考SNOMEDCTBodyStructures代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
method		0..1	CodeableConceptTW	此檢驗檢查使用何種方法完成 Binding: ObservationMethods (example): 檢驗檢查的方法；可參考ObservationMethods代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
specimen		0..1	Reference(Specimen)	此檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	（測量）設備
referenceRange	C	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。 obs-3: Must have at least a low or a high or text
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	參考範圍值的下限值，如果相關。
high	C	0..1	SimpleQuantity	參考範圍值的上限值，如果相關。
type		0..1	CodeableConceptTW	參考範圍值的限定詞 Binding: ObservationReferenceRangeMeaningCodes (preferred): 用以表述參考範圍值之含意的代碼；鼓勵使用ObservationReferenceRangeMeaningCodes代碼表中的代碼， 但不強制一定要使用此代碼表，你也可使用其他代碼表的代碼或單純以文字表示。
appliesTo		0..*	CodeableConceptTW	參考範圍值的人群 Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的人群之代碼；可參考ObservationReferenceRangeAppliesToCodes代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼代碼表中的代碼。
age		0..1	Range	適用的年齡範圍值，如果相關。
text		0..1	string	檢驗檢查中以文字表述的參考範圍值
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	屬於此組檢驗檢查的相關Resource
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	檢驗檢查源自哪些相關測量
component	SΣ	0..*	BackboneElement	組成之（部分）檢驗檢查的檢驗結果
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConceptTW	組成之檢驗檢查的型別（代碼／型別） Binding: 生命體徵值集 (example): 代碼指明檢驗檢查的名稱；可參考生命體徵值集代碼表，但此代碼表只是針對這個欄位的一個可能值的示例，不預期也不鼓勵使用者一定要使用此代碼表的代碼。
value[x]	SΣ	0..1		組成之檢驗檢查的實際結果 Binding: VitalSignsUnits (preferred): 用於記錄生命體徵的常用UCUM單元。；應填入VitalSignsUnits代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	S	0..1	CodeableConceptTW	為什麼缺少組成之檢驗檢查結果 Binding: DataAbsentReason (extensible): 代碼指明為什麼結果（Observation.value[x]）缺少；應填入DataAbsentReason代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
interpretation		0..*	CodeableConceptTW	高、低、正常等。 Binding: ObservationInterpretationCodes (extensible): 用以指明檢驗檢查的解釋之代碼。應填入ObservationInterpretationCodes代碼表中適合的代碼，確定無適合的代碼才可以使用其他代碼中的代碼來表示。
referenceRange		0..*	See referenceRange (Observation)	解釋此組成之檢驗驗查的結果值之指引
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 19146-0("Referral lab test results") https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.value[x]:valueString	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	TWVitalSigns https://twcore.mohw.gov.tw/ig/twcore/ValueSet/vital-signs-tw
Observation.component.value[x]	preferred	VitalSignsUnits http://hl7.org/fhir/ValueSet/ucum-vitals-common from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from TWCoreObservation

Summary

Mandatory: 7 elements
Must-Support: 2 elements
Fixed: 1 element

Structures

This structure refers to these other structures:

• 出院病摘-病人基本資料 (https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/PatientDMS)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron