Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢驗檢查的分類 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore	S	1..1	CodeableConcept	臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Vital Signs
code	SΣ	1..1	CodeableConceptTW	骨骼肌重 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
coding	SΣ	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
code	SΣ	1..1	code	系統定義的語法之符號 Required Pattern: SMM
display	SΣ	1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	量測對象
reference	SΣC	1..1	string	量測對象。[應輸入 Patient Resource ID]
effective[x]	SΣ	1..1		檢驗檢查的時間或時段
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..1	Reference(長期照顧－照顧服務提供者)	量測人員
reference	SΣC	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
Slices for value[x]	SΣC	1..1	Quantity S	檢驗檢查的結果值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	1..1	Quantity S	檢驗檢查的實際結果
value	SΣ	1..1	decimal	數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	單位
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: kg
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	required	臺灣衛福部資訊處類型代碼值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	Observation Methods	📦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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	TWCoreObservationSimple	通用檢驗檢查結果或發現的測量和簡單聲明
Slices for category				Content/Rules for all slices
category:twcore		1..1	CodeableConcept	臺灣核心分類
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	S	1..1	string	Representation defined by the system Required Pattern: Vital Signs
code		1..1	CodeableConceptTW	骨骼肌重
coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
code		1..1	code	系統定義的語法之符號 Required Pattern: SMM
display		1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
subject		1..1	Reference(長期照顧－住民基本資料)	量測對象
reference	S	1..1	string	量測對象。[應輸入 Patient Resource ID]
performer		0..1	Reference(長期照顧－照顧服務提供者)	量測人員
reference	S	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
Slices for value[x]		1..1	Quantity	檢驗檢查的結果值 Slice: Unordered, Open by type:$this
value[x]:valueQuantity	S	1..1	Quantity S	檢驗檢查的實際結果
value	S	1..1	decimal	數值
unit	S	1..1	string	單位
system	S	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit Required Pattern: kg
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	Observation Methods	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	檢驗檢查的依據
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	作為較大項目的一部分
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢驗檢查的分類 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore	S	1..1	CodeableConcept	臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Vital Signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConceptTW	骨骼肌重 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣ	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號 Required Pattern: SMM
display	SΣ	1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	量測對象
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	量測對象。[應輸入 Patient Resource ID]
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(TW Core Encounter)	與此檢驗檢查相關的就醫事件
effective[x]	SΣ	1..1		檢驗檢查的時間或時段
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..1	Reference(長期照顧－照顧服務提供者)	量測人員
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	1..1	Quantity S	檢驗檢查的結果值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	1..1	Quantity S	檢驗檢查的實際結果
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	單位
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: kg
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
specimen		0..1	Reference(TW Core Specimen)	檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	包含的相關檢驗檢查
derivedFrom	Σ	0..*	Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence)	觀察來源或依據
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

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

Summary

Mandatory: 16 elements(1 nested mandatory element)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)

Slices

This structure defines the following Slices:

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢驗檢查的分類 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore	S	1..1	CodeableConcept	臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Vital Signs
code	SΣ	1..1	CodeableConceptTW	骨骼肌重 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
coding	SΣ	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
code	SΣ	1..1	code	系統定義的語法之符號 Required Pattern: SMM
display	SΣ	1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	量測對象
reference	SΣC	1..1	string	量測對象。[應輸入 Patient Resource ID]
effective[x]	SΣ	1..1		檢驗檢查的時間或時段
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..1	Reference(長期照顧－照顧服務提供者)	量測人員
reference	SΣC	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
Slices for value[x]	SΣC	1..1	Quantity S	檢驗檢查的結果值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	1..1	Quantity S	檢驗檢查的實際結果
value	SΣ	1..1	decimal	數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	單位
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: kg
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:twcore	Base	required	臺灣衛福部資訊處類型代碼值集	📦0.3.0	臺灣核心實作指引 v1.0
Observation.code	Base	preferred	LOINC Codes	📦4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	Observation Methods	📦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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	TWCoreObservationSimple	通用檢驗檢查結果或發現的測量和簡單聲明
Slices for category				Content/Rules for all slices
category:twcore		1..1	CodeableConcept	臺灣核心分類
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	S	1..1	string	Representation defined by the system Required Pattern: Vital Signs
code		1..1	CodeableConceptTW	骨骼肌重
coding		1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
system		1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
code		1..1	code	系統定義的語法之符號 Required Pattern: SMM
display		1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
subject		1..1	Reference(長期照顧－住民基本資料)	量測對象
reference	S	1..1	string	量測對象。[應輸入 Patient Resource ID]
performer		0..1	Reference(長期照顧－照顧服務提供者)	量測人員
reference	S	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
Slices for value[x]		1..1	Quantity	檢驗檢查的結果值 Slice: Unordered, Open by type:$this
value[x]:valueQuantity	S	1..1	Quantity S	檢驗檢查的實際結果
value	S	1..1	decimal	數值
unit	S	1..1	string	單位
system	S	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit Required Pattern: kg
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.bodySite	Base	extensible	SNOMED CT Body Structures	📦4.0.1	FHIR Std.
Observation.method	Base	extensible	Observation Methods	📦4.0.1	FHIR Std.

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
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
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	創建此內容所依據的一組規則
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	檢驗檢查的依據
partOf	Σ	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	作為較大項目的一部分
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConceptTW	檢驗檢查的分類 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:twcore	S	1..1	CodeableConcept	臺灣核心分類 Binding: 臺灣衛福部資訊處類型代碼值集 (required): 此 slice 綁定的值集之綁定強度雖為最高強度「要求使用 (Requird)」，但因 slice 之特性，其不會限制僅能填此值集中的代碼，故在實作時也可使用其他值集的代碼。
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Required Pattern: vital-signs
display	SΣ	1..1	string	Representation defined by the system Required Pattern: Vital Signs
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConceptTW	骨骼肌重 Binding: LOINCCodes (preferred): Codes identifying names of simple observations.
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
coding	SΣ	1..1	CodingTW	由專門術語系統（terminology system）定義的代碼
id		0..1	string	唯一可識別ID，以供資料項目間相互參照。
extension		0..*	Extension	擴充的資料項目 Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	專門術語系統（terminology system）的識別 Required Pattern: http://ltc-ig.fhir.tw/CodeSystem/TempCodeCS-Sport
version	Σ	0..1	string	系統的版本—如果相關的話
code	SΣ	1..1	code	系統定義的語法之符號 Required Pattern: SMM
display	SΣ	1..1	string	由系統定義的表示法 Required Pattern: 骨骼肌重
userSelected	Σ	0..1	boolean	此編碼是否由使用者直接選擇？
text	SΣ	0..1	string	概念的文字表示法
subject	SΣ	1..1	Reference(長期照顧－住民基本資料)	量測對象
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	量測對象。[應輸入 Patient Resource ID]
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	Σ	0..1	Reference(TW Core Encounter)	與此檢驗檢查相關的就醫事件
effective[x]	SΣ	1..1		檢驗檢查的時間或時段
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..1	Reference(長期照顧－照顧服務提供者)	量測人員
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	量測人員。[應輸入 Practitioner Resource ID]
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	1..1	Quantity S	檢驗檢查的結果值 Slice: Unordered, Closed by type:$this
value[x]:valueQuantity	SΣC	1..1	Quantity S	檢驗檢查的實際結果
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣ	1..1	decimal	數值
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	單位
system	SΣC	1..1	uri	System that defines coded unit form Required Pattern: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit Required Pattern: kg
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note		0..*	Annotation	Comments about the observation
bodySite	S	0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
method	S	0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
specimen		0..1	Reference(TW Core Specimen)	檢驗檢查的檢體
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(TW Core Simple Observation | TW Core QuestionnaireResponse | MolecularSequence)	包含的相關檢驗檢查
derivedFrom	Σ	0..*	Reference(Observation | TW Core DocumentReference | TW Core QuestionnaireResponse | TW Core ImagingStudy | TW Core Media | MolecularSequence)	觀察來源或依據
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

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

Summary

Mandatory: 16 elements(1 nested mandatory element)
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 長期照顧－住民基本資料 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPatient)
• 長期照顧－照顧服務提供者 (http://ltc-ig.fhir.tw/StructureDefinition/LTCPractitioner)

Slices

This structure defines the following Slices:

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