臺灣長期照顧實作指引(TW LTC IG)
1.1.0 - STU 1.1.0

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: 安全防護－跌倒紀錄

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

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現長照機構住民的跌倒紀錄。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Constraints: obs-6, obs-7
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.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): Codes providing the status of an observation.
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類別
Slice: Unordered, Open by pattern:$this
Binding: 臺灣衛福部資訊處類型代碼值集 (required)

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:All Slices Content/Rules for all slices
Observation.Slices for category.category:All Slices.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category.category:All Slices.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類型
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Observation.code.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
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(TW Core Patient This type must be supported. | Group | Device | TW Core Location) 跌倒紀錄的對象
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
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) 負責該檢驗檢查的人員
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 CodeableConcept This type must be supported. 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG

Constraints

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

This structure is derived from TWCoreObservationSimple

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Observation.category 1..* CodeableConceptTW 跌倒紀錄的類別
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.category.coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category Content/Rules for all slices
Observation.Slices for category.category:twcore 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code 1..1 CodeableConceptTW 跌倒紀錄的類型
Observation.code.coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
Observation.Slices for effective[x] 1..1 dateTime 檢驗檢查的時間或時段
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
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
Observation.value[x] 1..1 CodeableConcept 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
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.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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.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 Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 檢驗檢查的依據
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為較大項目的一部分
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): Codes providing the status of an observation.
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類別
Slice: Unordered, Open by pattern:$this
Binding: 臺灣衛福部資訊處類型代碼值集 (required)

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:All Slices Content/Rules for all slices
Observation.Slices for category.category:All Slices.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.Slices for category.category:All Slices.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.Slices for category.category:All Slices.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category.category:All Slices.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類型
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
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. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
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(TW Core Patient This type must be supported. | Group | Device | TW Core Location) 跌倒紀錄的對象
Observation.focus 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 This element is included in summaries. 0..1 Reference(TW Core Encounter) 與此檢驗檢查相關的就醫事件
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
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) 負責該檢驗檢查的人員
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 CodeableConcept This type must be supported. 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)
Observation.dataAbsentReason 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(TW Core Specimen) 檢驗檢查的檢體
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. 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.hasMember This element is included in summaries. 0..* Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) 包含的相關檢驗檢查
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) 觀察來源或依據
Observation.component This element is included in summaries. 0..* BackboneElement Component results
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x] This element is included in summaries. 0..1 Actual component result
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​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()

This structure is derived from TWCoreObservationSimple

Summary

Mandatory: 4 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Constraints: obs-6, obs-7
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.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): Codes providing the status of an observation.
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類別
Slice: Unordered, Open by pattern:$this
Binding: 臺灣衛福部資訊處類型代碼值集 (required)

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:All Slices Content/Rules for all slices
Observation.Slices for category.category:All Slices.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category.category:All Slices.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類型
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
Observation.code.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
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(TW Core Patient This type must be supported. | Group | Device | TW Core Location) 跌倒紀錄的對象
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
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) 負責該檢驗檢查的人員
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 CodeableConcept This type must be supported. 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG

Constraints

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

Differential View

This structure is derived from TWCoreObservationSimple

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Observation.category 1..* CodeableConceptTW 跌倒紀錄的類別
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.category.coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category Content/Rules for all slices
Observation.Slices for category.category:twcore 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code 1..1 CodeableConceptTW 跌倒紀錄的類型
Observation.code.coding 1..1 CodingTW 由專門術語系統（terminology system）定義的代碼
Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
Observation.subject 1..1 Reference(TW Core Patient | Group | Device | TW Core Location) 跌倒紀錄的對象
Observation.Slices for effective[x] 1..1 dateTime 檢驗檢查的時間或時段
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
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
Observation.value[x] 1..1 CodeableConcept 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationSimple 通用檢驗檢查結果或發現的測量和簡單聲明
Constraints: obs-6, obs-7
Observation.id This element is included in summaries. 0..1 id Logical id of this artifact
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
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.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
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.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 Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 檢驗檢查的依據
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為較大項目的一部分
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): Codes providing the status of an observation.
Observation.Slices for category This element must be supported. 1..* CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類別
Slice: Unordered, Open by pattern:$this
Binding: 臺灣衛福部資訊處類型代碼值集 (required)

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:All Slices Content/Rules for all slices
Observation.Slices for category.category:All Slices.id 0..1 string 唯一可識別ID，以供資料項目間相互參照。
Observation.Slices for category.category:All Slices.extension 0..* Extension 擴充的資料項目
Slice: Unordered, Open by value:url
Observation.Slices for category.category:All Slices.coding This element must be supported. This element is included in summaries. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
  "code" : "survey"
}
Observation.Slices for category.category:All Slices.text This element must be supported. This element is included in summaries. 0..1 string 概念的文字表示法
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept 臺灣核心分類
Binding: 臺灣衛福部資訊處類型代碼值集 (required)
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 跌倒紀錄的類型
Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
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. 1..1 CodingTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 由專門術語系統（terminology system）定義的代碼

Required Pattern: 
{
  "system" : "http://loinc.org",
  "code" : "101440-6",
  "display" : "History of Falls"
}
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(TW Core Patient This type must be supported. | Group | Device | TW Core Location) 跌倒紀錄的對象
Observation.focus 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 This element is included in summaries. 0..1 Reference(TW Core Encounter) 與此檢驗檢查相關的就醫事件
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 檢驗檢查的時間或時段
Slice: Unordered, Closed by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. 1..1 dateTime This type must be supported. 此跌倒紀錄發生的時間
Observation.issued This element is included in summaries. 0..1 instant Date/Time this version was made available
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) 負責該檢驗檢查的人員
Observation.value[x] This element must be supported. This element is included in summaries. C 1..1 CodeableConcept This type must be supported. 跌倒紀錄結果（如果有偵測到跌倒，則填入 Observed）
Binding: 跌倒紀錄結果值集 (required)
Observation.dataAbsentReason 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(TW Core Specimen) 檢驗檢查的檢體
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. 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.hasMember This element is included in summaries. 0..* Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence) 包含的相關檢驗檢查
Observation.derivedFrom This element is included in summaries. 0..* Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence) 觀察來源或依據
Observation.component This element is included in summaries. 0..* BackboneElement Component results
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element is included in summaries. 1..1 CodeableConcept Type of component observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Observation.component.value[x] This element is included in summaries. 0..1 Actual component result
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason C 0..1 CodeableConcept Why the component result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.category:twcore Base required 臺灣衛福部資訊處類型代碼值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC Codes 📦4.0.1 FHIR Std.
Observation.value[x] Base required 跌倒紀錄結果值集 📦1.1.0 This IG
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍4.0.1 FHIR Std.
Observation.component.​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()

This structure is derived from TWCoreObservationSimple

Summary

Mandatory: 4 elements
Must-Support: 1 element

Slices

This structure defines the following Slices:

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

 

Other representations of profile: CSV, Excel, Schematron