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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 居家護理－生命徵象

沿用 FHIR R4 生命徵象量測組，以 hasMember 連結既有體溫、心率、呼吸、血壓與血氧 Profile；血糖以既有血糖 Profile 與共同來源表單串聯。

Usages:

• Use this Profile: 居家護理－生命徵象交換集合
• Examples for this Profile: Observation/hn-vital-signs-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..*	observation-vitalspanel	FHIR Vital Signs Panel Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs (no extensions allowed)
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Vital Signs Panel Binding: VitalSigns (extensible): This identifies the vital sign result type. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.code.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:VitalsPanelCode	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:VitalsPanelCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 85353-1 (no extensions allowed)
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for hasMember	S This element must be supported. Σ This element is included in summaries.	4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍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-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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	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())

This structure is derived from observation-vitalspanel

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	observation-vitalspanel	FHIR Vital Signs Panel Profile
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.code		1..1	CodeableConcept	Vital Signs Panel Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.subject		1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
Observation.Slices for hasMember		4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
Observation.component		0..0		Used when reporting systolic and diastolic blood pressure.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	observation-vitalspanel	FHIR Vital Signs Panel Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.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
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Vital Signs Panel Binding: VitalSigns (extensible): This identifies the vital sign result type. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:VitalsPanelCode	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:VitalsPanelCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:VitalsPanelCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:VitalsPanelCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:VitalsPanelCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 85353-1 (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:VitalsPanelCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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. Σ 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)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.Slices for hasMember	S This element must be supported. Σ This element is included in summaries.	4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍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	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
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()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	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())

This structure is derived from observation-vitalspanel

Summary

Mandatory: 6 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• 居家護理－個案 (http://ltc-ig.fhir.tw/StructureDefinition/HNPatient)
• 基礎生理量測－體溫 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationBodyTemperature)
• 基礎生理量測－心率 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationHeartRate)
• 基礎生理量測－呼吸速率 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationRespiratoryRate)
• 基礎生理量測－血壓 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationBloodPressure)
• 基礎生理量測－脈搏血氧飽和度 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationPeripheralOxygenSaturation)

Extensions

This structure refers to these extensions:

• http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
• http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.hasMember (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	observation-vitalspanel	FHIR Vital Signs Panel Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs (no extensions allowed)
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Vital Signs Panel Binding: VitalSigns (extensible): This identifies the vital sign result type. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.code.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:VitalsPanelCode	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:VitalsPanelCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 85353-1 (no extensions allowed)
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for hasMember	S This element must be supported. Σ This element is included in summaries.	4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍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-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()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	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())

Differential View

This structure is derived from observation-vitalspanel

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	observation-vitalspanel	FHIR Vital Signs Panel Profile
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.code		1..1	CodeableConcept	Vital Signs Panel Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.subject		1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.effective[x]		1..1	dateTime	Often just a dateTime for Vital Signs
Observation.Slices for hasMember		4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
Observation.component		0..0		Used when reporting systolic and diastolic blood pressure.
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	observation-vitalspanel	FHIR Vital Signs Panel Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.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
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.Slices for extension		2..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for extension.extension:episode	S This element must be supported.	1..1	Reference(居家護理－收案歷程)	居家護理－收案關聯 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
Observation.Slices for extension.extension:sourceForm	S This element must be supported.	1..1	Reference(QuestionnaireResponse)	居家護理－來源表單 URL: http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.identifier	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. 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:VSCat	S This element must be supported.	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs (no extensions allowed)
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Vital Signs Panel Binding: VitalSigns (extensible): This identifies the vital sign result type. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "85353-1" } ] }
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:VitalsPanelCode	Σ This element is included in summaries.	0..*	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:VitalsPanelCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:VitalsPanelCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:VitalsPanelCode.system	Σ This element is included in summaries.	0..1	uri	Identity of the terminology system Fixed Value: http://loinc.org (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:VitalsPanelCode.code	Σ This element is included in summaries.	0..1	code	Symbol in syntax defined by the system Fixed Value: 85353-1 (no extensions allowed)
Observation.code.Slices for coding.coding:VitalsPanelCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:VitalsPanelCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(居家護理－個案)	Who and/or what the observation is about
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	Σ This element is included in summaries.	0..1	Reference(Encounter)	Healthcare event during which this observation is made
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1	dateTime	Often just a dateTime for Vital Signs Constraints: vs-1
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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. Σ 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)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.Slices for hasMember	S This element must be supported. Σ This element is included in summaries.	4..5	Reference(QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Used when reporting vital signs panel components Slice: Unordered, Closed by profile:resolve() Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for hasMember.hasMember:temperature	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－體溫)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:pulse	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－心率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:respiration	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－呼吸速率)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:bloodPressure	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(基礎生理量測－血壓)	Used when reporting vital signs panel components
Observation.Slices for hasMember.hasMember:oxygen	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(基礎生理量測－脈搏血氧飽和度)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | MolecularSequence | Vital Signs Profile)	Related measurements the observation is made from
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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍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	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
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()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	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())

This structure is derived from observation-vitalspanel

Summary

Mandatory: 6 elements
Must-Support: 7 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

• 居家護理－個案 (http://ltc-ig.fhir.tw/StructureDefinition/HNPatient)
• 基礎生理量測－體溫 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationBodyTemperature)
• 基礎生理量測－心率 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationHeartRate)
• 基礎生理量測－呼吸速率 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationRespiratoryRate)
• 基礎生理量測－血壓 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationBloodPressure)
• 基礎生理量測－脈搏血氧飽和度 (http://ltc-ig.fhir.tw/StructureDefinition/PASportObservationPeripheralOxygenSaturation)

Extensions

This structure refers to these extensions:

• http://ltc-ig.fhir.tw/StructureDefinition/ExtHNEpisode
• http://ltc-ig.fhir.tw/StructureDefinition/ExtHNSourceForm

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.hasMember (Closed)

Other representations of profile: CSV, Excel, Schematron