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:

- Examples for this Profile: Observation/Dental-plaque-observation-example

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.

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
subject |  | 1..1 | Reference(牙醫－病人) | 受檢病人
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)
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | ?!S Σ | 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:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore | S | 0..* | CodeableConcept | 臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
code | S Σ | 1..1 | CodeableConceptTW | 檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S Σ | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 0..1 | code | 系統定義的語法之符號 Required Pattern: PLAQUE
display | S Σ | 0..1 | string | 由系統定義的表示法 Required Pattern: 牙菌斑檢查
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
subject | S Σ | 1..1 | Reference(牙醫－病人) | 受檢病人
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | S Σ | 1..1 | Reference(牙醫－就醫事件) | 關聯的就醫事件
Slices for effective[x] | S Σ | 1..1 | dateTime S | 檢驗檢查的時間或時段 Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime | S Σ | 1..1 | dateTime S | 檢查時間
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 1..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 執行者
Slices for value[x] | S Σ C | 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 | S Σ C | 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 | S Σ | 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 | Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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
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:

- 牙醫－病人 (http://dental-ig.fhir.tw/StructureDefinition/Patient-twdental)
- 牙醫－就醫事件 (http://dental-ig.fhir.tw/StructureDefinition/Encounter-twdental)

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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
subject |  | 1..1 | Reference(牙醫－病人) | 受檢病人
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)
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 Bindings | Purpose
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 | ?!S Σ | 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:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore | S | 0..* | CodeableConcept | 臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
code | S Σ | 1..1 | CodeableConceptTW | 檢查代碼 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
coding | S Σ | 0..* | CodingTW | 由專門術語系統（terminology system）定義的代碼
id |  | 0..1 | string | 唯一可識別ID，以供資料項目間相互參照。
extension |  | 0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url
system | S Σ | 0..1 | uri | 專門術語系統（terminology system）的識別 Required Pattern: http://dental-ig.fhir.tw/CodeSystem/CS-DentalExamination-twdental
version | Σ | 0..1 | string | 系統的版本—如果相關的話
code | S Σ | 0..1 | code | 系統定義的語法之符號 Required Pattern: PLAQUE
display | S Σ | 0..1 | string | 由系統定義的表示法 Required Pattern: 牙菌斑檢查
userSelected | Σ | 0..1 | boolean | 此編碼是否由使用者直接選擇？
text | S Σ | 0..1 | string | 概念的文字表示法
subject | S Σ | 1..1 | Reference(牙醫－病人) | 受檢病人
focus | Σ | 0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record
encounter | S Σ | 1..1 | Reference(牙醫－就醫事件) | 關聯的就醫事件
Slices for effective[x] | S Σ | 1..1 | dateTime S | 檢驗檢查的時間或時段 Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime | S Σ | 1..1 | dateTime S | 檢查時間
issued | Σ | 0..1 | instant | Date/Time this version was made available
performer | S Σ | 1..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) | 執行者
Slices for value[x] | S Σ C | 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 | S Σ C | 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 | S Σ | 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 | Σ C | 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 | S Σ | 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 | S Σ | 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 | S Σ | 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
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:

- 牙醫－病人 (http://dental-ig.fhir.tw/StructureDefinition/Patient-twdental)
- 牙醫－就醫事件 (http://dental-ig.fhir.tw/StructureDefinition/Encounter-twdental)

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