臺灣牙醫實作指引 (Taiwan Dental Implementation Guide)
0.0.1 - ci-build

臺灣牙醫實作指引 (Taiwan Dental Implementation Guide), published by 金屬工業研究發展中心. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWDental_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 牙醫－牙菌斑檢查

Official URL: http://dental-ig.fhir.tw/StructureDefinition/Observation-plaque-twdental Version: 0.0.1
Active as of 2026-06-25 Computable Name: DentalPlaqueObservation

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現牙菌斑檢查的資料。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationSimple 牙菌斑檢查的資料
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 檢查狀態
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:twcore S 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... code SΣ 1..1 CodeableConceptTW 檢查代碼
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
.... coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
..... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... code SΣ 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display SΣ 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(牙醫－病人) 受檢病人
... encounter SΣ 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] SΣ 1..1 dateTime S 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 檢查時間
... performer SΣ 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] SΣC 0..1 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept S
.... valueString string S
.... valueBoolean boolean S
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity SΣC 0..1 Quantity S 牙菌斑指數(百分比)
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
Required Pattern: %
..... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code Coded form of the unit
Required Pattern: %
... component SΣ 0..* BackboneElement 各牙位的牙菌斑紀錄
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept 牙位代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG

Constraints

Id Grade Path(s) Description Expression
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()

This structure is derived from TWCoreObservationSimple

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* TWCoreObservationSimple 牙菌斑檢查的資料
... status 1..1 code 檢查狀態
... category 1..* CodeableConceptTW 檢查分類
... code 1..1 CodeableConceptTW 檢查代碼
.... coding
..... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... code 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
... encounter S 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] 1..1 dateTime 檢驗檢查的時間或時段
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime S 檢查時間
... performer 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity S 0..1 Quantity S 牙菌斑指數(百分比)
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit 0..1 string Unit representation
Required Pattern: %
..... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code 0..1 code Coded form of the unit
Required Pattern: %
... component S 0..* BackboneElement 各牙位的牙菌斑紀錄
.... code S 1..1 CodeableConcept 牙位代碼
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueCodeableConcept S 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationSimple 牙菌斑檢查的資料
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 檢驗檢查的依據
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為較大項目的一部分
... status ?!SΣ 1..1 code 檢查狀態
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 檢查分類
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:twcore S 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... code SΣ 1..1 CodeableConceptTW 檢查代碼
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
..... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
..... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... version Σ 0..1 string 系統的版本—如果相關的話
..... code SΣ 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display SΣ 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
..... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(牙醫－病人) 受檢病人
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] SΣ 1..1 dateTime S 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 檢查時間
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] SΣC 0..1 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept S
.... valueString string S
.... valueBoolean boolean S
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity SΣC 0..1 Quantity S 牙菌斑指數(百分比)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
Required Pattern: %
..... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code Coded form of the unit
Required Pattern: %
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(TW Core Specimen) 檢驗檢查的檢體
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) 包含的相關檢驗檢查
... derivedFrom Σ 0..* Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) 觀察來源或依據
... component SΣ 0..* BackboneElement 各牙位的牙菌斑紀錄
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept 牙位代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 TWCoreObservationSimple

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationSimple 牙菌斑檢查的資料
Constraints: obs-6, obs-7
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 檢查狀態
Binding: ObservationStatus (required): Codes providing the status of an observation.
.... category:twcore S 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... code SΣ 1..1 CodeableConceptTW 檢查代碼
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
.... coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
..... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... code SΣ 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display SΣ 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(牙醫－病人) 受檢病人
... encounter SΣ 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] SΣ 1..1 dateTime S 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 檢查時間
... performer SΣ 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] SΣC 0..1 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept S
.... valueString string S
.... valueBoolean boolean S
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity SΣC 0..1 Quantity S 牙菌斑指數(百分比)
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
Required Pattern: %
..... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code Coded form of the unit
Required Pattern: %
... component SΣ 0..* BackboneElement 各牙位的牙菌斑紀錄
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept 牙位代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG

Constraints

Id Grade Path(s) Description Expression
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()

Differential View

This structure is derived from TWCoreObservationSimple

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* TWCoreObservationSimple 牙菌斑檢查的資料
... status 1..1 code 檢查狀態
... category 1..* CodeableConceptTW 檢查分類
... code 1..1 CodeableConceptTW 檢查代碼
.... coding
..... system 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... code 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
... encounter S 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] 1..1 dateTime 檢驗檢查的時間或時段
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveDateTime S 1..1 dateTime S 檢查時間
... performer 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... value[x]:valueQuantity S 0..1 Quantity S 牙菌斑指數(百分比)
..... value S 0..1 decimal Numerical value (with implicit precision)
..... unit 0..1 string Unit representation
Required Pattern: %
..... system 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code 0..1 code Coded form of the unit
Required Pattern: %
... component S 0..* BackboneElement 各牙位的牙菌斑紀錄
.... code S 1..1 CodeableConcept 牙位代碼
.... Slices for value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period Actual component result
Slice: Unordered, Open by type:$this
..... value[x]:valueCodeableConcept S 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* TWCoreObservationSimple 牙菌斑檢查的資料
Constraints: obs-6, obs-7
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri 創建此內容所依據的一組規則
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 檢驗檢查的依據
... partOf Σ 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為較大項目的一部分
... status ?!SΣ 1..1 code 檢查狀態
Binding: ObservationStatus (required): Codes providing the status of an observation.
... Slices for category S 1..* CodeableConceptTW 檢查分類
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
.... category:twcore S 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
... code SΣ 1..1 CodeableConceptTW 檢查代碼
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
.... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
.... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
.... coding SΣ 0..* CodingTW 由專門術語系統（terminology system）定義的代碼
..... id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
..... extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
..... system SΣ 0..1 uri 專門術語系統（terminology system）的識別
Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
..... version Σ 0..1 string 系統的版本—如果相關的話
..... code SΣ 0..1 code 系統定義的語法之符號
Required Pattern: PLAQUE
..... display SΣ 0..1 string 由系統定義的表示法
Required Pattern: 牙菌斑檢查
..... userSelected Σ 0..1 boolean 此編碼是否由使用者直接選擇？
.... text SΣ 0..1 string 概念的文字表示法
... subject SΣ 1..1 Reference(牙醫－病人) 受檢病人
... focus Σ 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
... encounter SΣ 1..1 Reference(牙醫－就醫事件) 關聯的就醫事件
... Slices for effective[x] SΣ 1..1 dateTime S 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 1..1 dateTime S 檢查時間
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 1..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行者
... Slices for value[x] SΣC 0..1 檢驗檢查的結果值
Slice: Unordered, Open by type:$this
.... valueQuantity Quantity S
.... valueCodeableConcept CodeableConcept S
.... valueString string S
.... valueBoolean boolean S
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity SΣC 0..1 Quantity S 牙菌斑指數(百分比)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
Required Pattern: %
..... system ΣC 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code Σ 0..1 code Coded form of the unit
Required Pattern: %
... dataAbsentReason C 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
... note 0..* Annotation Comments about the observation
... bodySite 0..1 CodeableConcept Observed body part
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
... specimen 0..1 Reference(TW Core Specimen) 檢驗檢查的檢體
... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
.... id 0..1 string Unique id for inter-element referencing
.... 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(4.0.1) Low Range, if relevant
.... high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
.... type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
.... appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
.... age 0..1 Range Applicable age range, if relevant
.... text 0..1 string Text based reference range in an observation
... hasMember Σ 0..* Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) 包含的相關檢驗檢查
... derivedFrom Σ 0..* Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) 觀察來源或依據
... component SΣ 0..* BackboneElement 各牙位的牙菌斑紀錄
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept 牙位代碼
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... Slices for value[x] Σ 0..1 Actual component result
Slice: Unordered, Open by type:$this
..... valueQuantity Quantity
..... valueCodeableConcept CodeableConcept
..... valueString string
..... valueBoolean boolean
..... valueInteger integer
..... valueRange Range
..... valueRatio Ratio
..... valueSampledData SampledData
..... valueTime time
..... valueDateTime dateTime
..... valuePeriod Period
..... value[x]:valueCodeableConcept SΣ 0..1 CodeableConcept 牙菌斑標記
Binding: 牙菌斑註記值集 (required)
.... dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
.... interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
.... referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​value[x]:valueCodeableConcept Base required 牙菌斑註記值集 📦0.0.1 This IG
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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 TWCoreObservationSimple

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron