在宅急症－檢驗結果 - 臺灣長期照顧實作指引(TW LTC IG) v1.1.0

臺灣長期照顧實作指引(TW LTC IG), published by 經濟部產業發展署. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Lorex/TWLongTermCare_IG_Build/ and changes regularly. See the Directory of published versions

Resource Profile: 在宅急症－檢驗結果

Official URL: http://ltc-ig.fhir.tw/StructureDefinition/HAHObservationLab				Version: 1.1.0
Draft as of 2026-10-30				Computable Name: HAHObservationLab

一筆檢驗項目一筆結果。保留檢體、方法、單位與參考區間，缺少結果時以 dataAbsentReason 記錄原因。

Usages:

Refer to this Profile: 在宅急症－照護資料集 and 在宅急症－檢驗報告
Examples for this Profile: Observation/hah-glucose

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..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, tw-core-4, hah-lab-result
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.basedOn	This element is included in summaries.	0..*	Reference(在宅急症－服務請求)	依據的照護計畫／提議／醫令
Observation.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Observation.Slices for category	This element must be supported.	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。 Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] }`
Observation.code	This element must be supported. This element is included in summaries.	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: 臺灣核心-實驗室檢驗檢查值集 (extensible)
Observation.code.coding	This element must be supported. This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
Observation.code.text	This element must be supported. This element is included in summaries.	0..1	string	概念的文字表示法
Observation.subject	This element must be supported. This element is included in summaries.	1..1	Reference(在宅急症－個案)	檢驗檢查有關的對象及（或）事物
Observation.encounter	This element must be supported. This element is included in summaries.	1..1	Reference(在宅急症－就診基礎)	檢驗檢查是哪一次就醫時執行的
Observation.effective[x]	This element must be supported. This element is included in summaries. C	1..1		檢驗檢查執行日期或時間區間 Constraints: tw-core-3
Observation.effective[x].effectiveDateTime			dateTime This target must be supported.
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveTiming			Timing
Observation.effective[x].effectiveInstant			instant
Observation.performer	This element must be supported. This element is included in summaries.	0..*	Reference(TW Core Practitioner \| TW Core Organization \| TW Core Patient \| TW Core PractitionerRole \| TW Core CareTeam)	誰負責這項檢驗檢查
Observation.Slices for value[x]	This element must be supported. This element is included in summaries. C	0..1		檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity			Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString			string This target must be supported.
Observation.Slices for value[x].valueBoolean			boolean
Observation.Slices for value[x].valueInteger			integer
Observation.Slices for value[x].valueRange			Range
Observation.Slices for value[x].valueRatio			Ratio
Observation.Slices for value[x].valueSampledData			SampledData
Observation.Slices for value[x].valueTime			time
Observation.Slices for value[x].valueDateTime			dateTime
Observation.Slices for value[x].valuePeriod			Period
Observation.Slices for value[x].value[x]:valueQuantity	This element must be supported. This element is included in summaries. C	0..1	Quantity This type must be supported.	檢驗檢查的實際結果 Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.comparator	This element is a modifier element. This element is included in summaries.	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.system	This element is included in summaries. C	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for value[x].value[x]:valueQuantity.code	This element is included in summaries.	1..1	code	Coded form of the unit
Observation.dataAbsentReason	This element must be supported. C	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；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation	This element must be supported.	0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.referenceRange	This element must be supported. 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。 Constraints: obs-3
Observation.referenceRange.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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Observation Clinical Result類型值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.code	Base	extensible	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0
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.component.code	Base	example	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0

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()`
hah-lab-result	error	Observation	單項檢驗應提供結果或缺值原因。	`value.exists() or dataAbsentReason.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()`
tw-core-3	error	Observation.effective[x]	Datetime must be at least to day.	`$this is dateTime implies $this.toString().length() >= 10`
tw-core-4	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	`(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
tw-core-5	error	Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod	SHALL use UCUM for coded quantity units.	`ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'`

This structure is derived from TWCoreObservationLaboratoryResult

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 Constraints: hah-lab-result
Observation.basedOn		0..*	Reference(在宅急症－服務請求)	依據的照護計畫／提議／醫令
Observation.subject		1..1	Reference(在宅急症－個案)	檢驗檢查有關的對象及（或）事物
Observation.encounter		1..1	Reference(在宅急症－就診基礎)	檢驗檢查是哪一次就醫時執行的
Observation.Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].value[x]:valueQuantity		0..1	Quantity	檢驗檢查的實際結果
Observation.Slices for value[x].value[x]:valueQuantity.system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for value[x].value[x]:valueQuantity.code		1..1	code	Coded form of the unit
Observation.interpretation	This element must be supported.	0..*	CodeableConceptTW	高、低、正常等
Observation.referenceRange	This element must be supported.	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Observation.hasMember		0..0		屬於此組檢驗檢查的相關Resource
Observation.component		0..0		組成之（部分）檢驗檢查的檢驗結果
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
hah-lab-result	error	Observation	單項檢驗應提供結果或缺值原因。	`value.exists() or dataAbsentReason.exists()`

Description & Constraints Filter:

Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4, hah-lab-result

Observation.id This element is included in summaries. 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。

Observation.meta This element is included in summaries. 0..1 Meta 此Observation Resource的metadata

Observation.implicitRules This element is a modifier element. This element is included in summaries. 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。

Additional Bindings

Purpose

AllLanguages

Max Binding

Example Value: zh-TW

Observation.text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Observation.contained 0..* Resource Contained, inline Resources

Observation.extension 0..* Extension Additional content defined by implementations

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 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。

Observation.basedOn This element is included in summaries. 0..* Reference(在宅急症－服務請求) 依據的照護計畫／提議／醫令

Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code registered ｜ preliminary ｜ final ｜ amended +
Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。

Observation.Slices for category This element must be supported. 1..* CodeableConceptTW 概念（concept）－參照一個專門術語或只是純文字。
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

category:twcore

1..1

CodeableConcept

Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}

Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW 概念（concept）－參照一個專門術語或只是純文字。
Binding: 臺灣核心-實驗室檢驗檢查值集 (extensible)

Observation.code.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。

Observation.code.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url

Observation.code.coding This element must be supported. This element is included in summaries. 0..* CodingTW 由專門術語系統（terminology system）定義的代碼

Observation.code.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法

Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－個案) 檢驗檢查有關的對象及（或）事物

Observation.focus This element is included in summaries. 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。

Observation.encounter This element must be supported. This element is included in summaries. 1..1 Reference(在宅急症－就診基礎) 檢驗檢查是哪一次就醫時執行的

Observation.effective[x] This element must be supported. This element is included in summaries. C 1..1 檢驗檢查執行日期或時間區間
Constraints: tw-core-3

Observation.effective[x].effectiveDateTime dateTime This target must be supported.

Observation.effective[x].effectivePeriod Period

Observation.effective[x].effectiveTiming Timing

Observation.effective[x].effectiveInstant instant

Observation.issued This element is included in summaries. 0..1 instant 此版本檢驗檢查完成的日期或時間

Observation.performer This element must be supported. This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 誰負責這項檢驗檢查

Observation.Slices for value[x] This element must be supported. This element is included in summaries. C 0..1 檢驗檢查的實際結果
Slice: Unordered, Closed by type:$this
Constraints: tw-core-5
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view

Observation.Slices for value[x].valueQuantity Quantity This type must be supported.

Observation.Slices for value[x].valueCodeableConcept CodeableConcept This type must be supported.

Observation.Slices for value[x].valueString string This target must be supported.

Observation.Slices for value[x].valueBoolean boolean

Observation.Slices for value[x].valueInteger integer

Observation.Slices for value[x].valueRange Range

Observation.Slices for value[x].valueRatio Ratio

Observation.Slices for value[x].valueSampledData SampledData

Observation.Slices for value[x].valueTime time

Observation.Slices for value[x].valueDateTime dateTime

Observation.Slices for value[x].valuePeriod Period

Observation.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity This type must be supported. 檢驗檢查的實際結果
Constraints: tw-core-5

Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing

Observation.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Observation.Slices for value[x].value[x]:valueQuantity.value This element is included in summaries. 0..1 decimal Numerical value (with implicit precision)

Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. This element is included in summaries. 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

Observation.Slices for value[x].value[x]:valueQuantity.unit This element is included in summaries. 0..1 string Unit representation

Observation.Slices for value[x].value[x]:valueQuantity.system This element is included in summaries. C 0..1 uri System that defines coded unit form
Required Pattern: http://unitsofmeasure.org (extensions allowed)

Observation.Slices for value[x].value[x]:valueQuantity.code This element is included in summaries. 1..1 code Coded form of the unit

Observation.dataAbsentReason This element must be supported. C 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；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

Observation.interpretation This element must be supported. 0..* CodeableConceptTW 高、低、正常等
Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。

Observation.note 0..* Annotation 關於此檢驗檢查之解說

Observation.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 (extensible)

Observation.method 0..1 CodeableConceptTW 此檢驗檢查使用何種方法完成
Binding: ObservationMethods (extensible)

Observation.specimen 0..1 Reference(TW Core Specimen) 此檢驗檢查的檢體

Observation.device 0..1 Reference(Device | DeviceMetric) （測量）設備

Observation.referenceRange This element must be supported. 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。
Constraints: obs-3

Observation.referenceRange.id 0..1 string Unique id for inter-element referencing

Observation.referenceRange.extension 0..* Extension Additional content defined by implementations

Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) 參考範圍值的下限值，如果相關。
Constraints: sqty-1

Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) 參考範圍值的上限值，如果相關。
Constraints: sqty-1

Observation.referenceRange.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；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。

Observation.referenceRange.appliesTo 0..* CodeableConceptTW 參考範圍值是用適用的對象或人口群
Binding: ObservationReferenceRangeAppliesToCodes (example): 用以指明參考範圍值適用的對象或人口群之代碼；可參考所綁定代碼表，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。

Observation.referenceRange.age 0..1 Range 適用的年齡範圍值，如果相關。

Observation.referenceRange.text 0..1 string 檢驗檢查中以文字表述的參考範圍值

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Observation Clinical Result類型值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.code	Base	extensible	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0
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	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	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	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0
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()`
hah-lab-result	error	Observation	單項檢驗應提供結果或缺值原因。	`value.exists() or dataAbsentReason.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()`
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	`comparator.empty()`
tw-core-3	error	Observation.effective[x]	Datetime must be at least to day.	`$this is dateTime implies $this.toString().length() >= 10`
tw-core-4	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	`(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
tw-core-5	error	Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod	SHALL use UCUM for coded quantity units.	`ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'`

This structure is derived from TWCoreObservationLaboratoryResult

Summary

Mandatory: 1 element(1 nested mandatory element)
Must-Support: 2 elements
Prohibited: 2 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.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 Constraints: obs-6, obs-7, tw-core-4, hah-lab-result
Observation.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	創建此內容所依據的一組規則
Observation.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.basedOn	This element is included in summaries.	0..*	Reference(在宅急症－服務請求)	依據的照護計畫／提議／醫令
Observation.status	This element is a modifier element. This element must be supported. This element is included in summaries.	1..1	code	registered ｜ preliminary ｜ final ｜ amended + Binding: ObservationStatus (required): 檢驗檢查的狀態代碼；應填入所綁定值集中的其中一個代碼。
Observation.Slices for category	This element must be supported.	1..*	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): 高層次的檢驗檢查分類；鼓勵使用所綁定值集中的代碼，但不強制一定要使用此值集，你也可使用其他值集的代碼或單純以文字表示。 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:twcore	This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: 臺灣衛福部資訊處Observation Clinical Result類型值集 (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。 Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "code" : "laboratory" } ] }`
Observation.code	This element must be supported. This element is included in summaries.	1..1	CodeableConceptTW	概念（concept）－參照一個專門術語或只是純文字。 Binding: 臺灣核心-實驗室檢驗檢查值集 (extensible)
Observation.code.coding	This element must be supported. This element is included in summaries.	0..*	CodingTW	由專門術語系統（terminology system）定義的代碼
Observation.code.text	This element must be supported. This element is included in summaries.	0..1	string	概念的文字表示法
Observation.subject	This element must be supported. This element is included in summaries.	1..1	Reference(在宅急症－個案)	檢驗檢查有關的對象及（或）事物
Observation.encounter	This element must be supported. This element is included in summaries.	1..1	Reference(在宅急症－就診基礎)	檢驗檢查是哪一次就醫時執行的
Observation.effective[x]	This element must be supported. This element is included in summaries. C	1..1		檢驗檢查執行日期或時間區間 Constraints: tw-core-3
Observation.effective[x].effectiveDateTime			dateTime This target must be supported.
Observation.effective[x].effectivePeriod			Period
Observation.effective[x].effectiveTiming			Timing
Observation.effective[x].effectiveInstant			instant
Observation.performer	This element must be supported. This element is included in summaries.	0..*	Reference(TW Core Practitioner \| TW Core Organization \| TW Core Patient \| TW Core PractitionerRole \| TW Core CareTeam)	誰負責這項檢驗檢查
Observation.Slices for value[x]	This element must be supported. This element is included in summaries. C	0..1		檢驗檢查的實際結果 Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].valueQuantity			Quantity This type must be supported.
Observation.Slices for value[x].valueCodeableConcept			CodeableConcept This type must be supported.
Observation.Slices for value[x].valueString			string This target must be supported.
Observation.Slices for value[x].valueBoolean			boolean
Observation.Slices for value[x].valueInteger			integer
Observation.Slices for value[x].valueRange			Range
Observation.Slices for value[x].valueRatio			Ratio
Observation.Slices for value[x].valueSampledData			SampledData
Observation.Slices for value[x].valueTime			time
Observation.Slices for value[x].valueDateTime			dateTime
Observation.Slices for value[x].valuePeriod			Period
Observation.Slices for value[x].value[x]:valueQuantity	This element must be supported. This element is included in summaries. C	0..1	Quantity This type must be supported.	檢驗檢查的實際結果 Constraints: tw-core-5
Observation.Slices for value[x].value[x]:valueQuantity.comparator	This element is a modifier element. This element is included in summaries.	0..1	code	< \| <= \| >= \| > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for value[x].value[x]:valueQuantity.system	This element is included in summaries. C	0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for value[x].value[x]:valueQuantity.code	This element is included in summaries.	1..1	code	Coded form of the unit
Observation.dataAbsentReason	This element must be supported. C	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；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.interpretation	This element must be supported.	0..*	CodeableConceptTW	高、低、正常等 Binding: ObservationInterpretationCodes (extensible): 代碼指明檢驗檢查結果的解釋；應填入所綁定值集中適合的代碼，確定無適合的代碼才可以使用其他值集的代碼來表示。
Observation.referenceRange	This element must be supported. 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。 Constraints: obs-3
Observation.referenceRange.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
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Observation Clinical Result類型值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.code	Base	extensible	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0
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.component.code	Base	example	臺灣核心-實驗室檢驗檢查值集	📦1.0.0	臺灣核心實作指引 v1.0

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()`
hah-lab-result	error	Observation	單項檢驗應提供結果或缺值原因。	`value.exists() or dataAbsentReason.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()`
tw-core-3	error	Observation.effective[x]	Datetime must be at least to day.	`$this is dateTime implies $this.toString().length() >= 10`
tw-core-4	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	`(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())`
tw-core-5	error	Observation.value[x], Observation.value[x]:valueQuantity, Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueString, Observation.value[x]:valueBoolean, Observation.value[x]:valueInteger, Observation.value[x]:valueRange, Observation.value[x]:valueRatio, Observation.value[x]:valueSampledData, Observation.value[x]:valueTime, Observation.value[x]:valueDateTime, Observation.value[x]:valuePeriod	SHALL use UCUM for coded quantity units.	`ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'`

Differential View

This structure is derived from TWCoreObservationLaboratoryResult

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationLaboratoryResult	檢驗檢查，測量及簡單的判定。 Constraints: hah-lab-result
Observation.basedOn		0..*	Reference(在宅急症－服務請求)	依據的照護計畫／提議／醫令
Observation.subject		1..1	Reference(在宅急症－個案)	檢驗檢查有關的對象及（或）事物
Observation.encounter		1..1	Reference(在宅急症－就診基礎)	檢驗檢查是哪一次就醫時執行的
Observation.Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	檢驗檢查的實際結果 Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for value[x].value[x]:valueQuantity		0..1	Quantity	檢驗檢查的實際結果
Observation.Slices for value[x].value[x]:valueQuantity.system		0..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org (extensions allowed)
Observation.Slices for value[x].value[x]:valueQuantity.code		1..1	code	Coded form of the unit
Observation.interpretation	This element must be supported.	0..*	CodeableConceptTW	高、低、正常等
Observation.referenceRange	This element must be supported.	0..*	BackboneElement	解釋結果值的指引。 obs-3：必須至少有低、高或文字表述。
Observation.hasMember		0..0		屬於此組檢驗檢查的相關Resource
Observation.component		0..0		組成之（部分）檢驗檢查的檢驗結果
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
hah-lab-result	error	Observation	單項檢驗應提供結果或缺值原因。	`value.exists() or dataAbsentReason.exists()`

Snapshot View

Description & Constraints Filter:

Observation C 0..* TWCoreObservationLaboratoryResult 檢驗檢查，測量及簡單的判定。
Constraints: obs-6, obs-7, tw-core-4, hah-lab-result

Observation.id This element is included in summaries. 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。

Observation.meta This element is included in summaries. 0..1 Meta 此Observation Resource的metadata

Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則

language

0..1

code

Additional Bindings

Purpose

AllLanguages

Max Binding

Example Value: zh-TW

Observation.text 0..1 Narrative Observation Resource之內容摘要以供人閱讀
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Observation.contained 0..* Resource Contained, inline Resources

Observation.extension 0..* Extension Additional content defined by implementations

Observation.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Observation.identifier This element is included in summaries. 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。

Observation.basedOn This element is included in summaries. 0..* Reference(在宅急症－服務請求) 依據的照護計畫／提議／醫令

category:twcore

1..1

CodeableConcept

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory"
    }
  ]
}