復健訓練量表實作指引 (Rehabilitation Training Scale Implementation Guide)
0.2.2 - ci-build

復健訓練量表實作指引 (Rehabilitation Training Scale Implementation Guide), published by Kimsber. This guide is not an authorized publication; it is the continuous build for version 0.2.2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Rehabotics-Medical-Techology-Co/RTS-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Observation Screening Assessment

Official URL: https://build.fhir.org/ig/Rehabotics-Medical-Techology-Co/RTS-IG/StructureDefinition/ObservationScreeningAssessment Version: 0.2.2
Draft as of 2026-10-08 Computable Name: ObservationScreeningAssessment

健康狀態篩檢與評估

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..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Constraints: obs-6, obs-7, tw-core-4
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
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 觀察結果狀態
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 觀察類別
Slice: Unordered, Open by pattern:$this
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:survey This element must be supported. 1..1 CodeableConcept 調查篩檢
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
Observation.Slices for category.category:survey.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for category.category:survey.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:survey.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for category.category:survey.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
Observation.Slices for category.category:survey.coding.display 0..1 string Representation defined by the system
Observation.Slices for category.category:survey.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:survey.text 0..1 string Plain text representation of the concept
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (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 觀察測量項目
Binding: LOINC篩檢與評估值集 (preferred)
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(TW Core Patient | TW Core Location | Group | Device) 受測者
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. C 0..1 生效時間
Slice: Unordered, Closed by type:$this
Constraints: tw-core-3
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effectiveDateTime dateTime This target must be supported.
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effectiveTiming Timing
Observation.Slices for effective[x].effectiveInstant instant
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime This type must be supported. 觀察時間
Constraints: tw-core-3
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 | TW Core RelatedPerson) 執行者
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 觀察值
Constraints: tw-core-5
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.value[x].valueString string This target must be supported.
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason This element must be supported. C 0..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 缺失資料原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept 結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation 備註
Observation.hasMember This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) 關聯成員
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse This type must be supported. | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) 來源參照

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 preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:survey Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處Observation Screening Assessment類型值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC篩檢與評估值集 📦2.81 臺灣核心實作指引 v1.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.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-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3 error Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectiveTiming, Observation.effective[x]:effectiveInstant Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x] SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationScreeningAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Observation.status 1..1 code 觀察結果狀態
Observation.category 1..* CodeableConceptTW 觀察類別
Observation.code 1..1 CodeableConceptTW 觀察測量項目
Observation.Slices for effective[x] 0..1 dateTime, Period, Timing, instant 生效時間
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effective[x]:effectiveDateTime 0..1 dateTime 觀察時間
Observation.value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 觀察值
Observation.interpretation 0..* CodeableConcept 結果判讀
Observation.note 0..* Annotation 備註

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Constraints: obs-6, obs-7, tw-core-4
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 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 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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf 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. This element must be supported. This element is included in summaries. 1..1 code 觀察結果狀態
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 觀察類別
Slice: Unordered, Open by pattern:$this
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:survey This element must be supported. 1..1 CodeableConcept 調查篩檢
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
Observation.Slices for category.category:survey.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for category.category:survey.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:survey.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for category.category:survey.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
Observation.Slices for category.category:survey.coding.display 0..1 string Representation defined by the system
Observation.Slices for category.category:survey.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:survey.text 0..1 string Plain text representation of the concept
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (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 觀察測量項目
Binding: LOINC篩檢與評估值集 (preferred)
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(TW Core Patient | TW Core Location | Group | Device) 受測者
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(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. C 0..1 生效時間
Slice: Unordered, Closed by type:$this
Constraints: tw-core-3
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effectiveDateTime dateTime This target must be supported.
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effectiveTiming Timing
Observation.Slices for effective[x].effectiveInstant instant
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime This type must be supported. 觀察時間
Constraints: tw-core-3
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 | TW Core RelatedPerson) 執行者
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 觀察值
Constraints: tw-core-5
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.value[x].valueString string This target must be supported.
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason This element must be supported. C 0..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 缺失資料原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept 結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation 備註
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. 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 must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) 關聯成員
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse This type must be supported. | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) 來源參照
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 preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:survey Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處Observation Screening Assessment類型值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC篩檢與評估值集 📦2.81 臺灣核心實作指引 v1.0
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()
tw-core-3 error Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectiveTiming, Observation.effective[x]:effectiveInstant Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x] SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationScreeningAssessment

Summary

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..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Constraints: obs-6, obs-7, tw-core-4
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created
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 觀察結果狀態
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 觀察類別
Slice: Unordered, Open by pattern:$this
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:survey This element must be supported. 1..1 CodeableConcept 調查篩檢
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
Observation.Slices for category.category:survey.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for category.category:survey.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:survey.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for category.category:survey.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
Observation.Slices for category.category:survey.coding.display 0..1 string Representation defined by the system
Observation.Slices for category.category:survey.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:survey.text 0..1 string Plain text representation of the concept
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (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 觀察測量項目
Binding: LOINC篩檢與評估值集 (preferred)
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(TW Core Patient | TW Core Location | Group | Device) 受測者
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. C 0..1 生效時間
Slice: Unordered, Closed by type:$this
Constraints: tw-core-3
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effectiveDateTime dateTime This target must be supported.
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effectiveTiming Timing
Observation.Slices for effective[x].effectiveInstant instant
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime This type must be supported. 觀察時間
Constraints: tw-core-3
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 | TW Core RelatedPerson) 執行者
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 觀察值
Constraints: tw-core-5
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.value[x].valueString string This target must be supported.
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason This element must be supported. C 0..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 缺失資料原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept 結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation 備註
Observation.hasMember This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) 關聯成員
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse This type must be supported. | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) 來源參照

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 preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:survey Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處Observation Screening Assessment類型值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC篩檢與評估值集 📦2.81 臺灣核心實作指引 v1.0
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.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-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
tw-core-3 error Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectiveTiming, Observation.effective[x]:effectiveInstant Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x] SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

Differential View

This structure is derived from TWCoreObservationScreeningAssessment

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Observation.status 1..1 code 觀察結果狀態
Observation.category 1..* CodeableConceptTW 觀察類別
Observation.code 1..1 CodeableConceptTW 觀察測量項目
Observation.subject 1..1 Reference(TW Core Patient | TW Core Location | Group | Device) 受測者
Observation.Slices for effective[x] 0..1 dateTime, Period, Timing, instant 生效時間
Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effective[x]:effectiveDateTime 0..1 dateTime 觀察時間
Observation.value[x] 0..1 Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period 觀察值
Observation.interpretation 0..* CodeableConcept 結果判讀
Observation.note 0..* Annotation 備註

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationScreeningAssessment 健康狀態篩檢與評估
Constraints: obs-6, obs-7, tw-core-4
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 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 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(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
Observation.partOf 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. This element must be supported. This element is included in summaries. 1..1 code 觀察結果狀態
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 觀察類別
Slice: Unordered, Open by pattern:$this
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:survey This element must be supported. 1..1 CodeableConcept 調查篩檢
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
Observation.Slices for category.category:survey.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
Observation.Slices for category.category:survey.coding.id 0..1 string Unique id for inter-element referencing
Observation.Slices for category.category:survey.coding.extension 0..* Extension Additional content defined by implementations
Observation.Slices for category.category:survey.coding.system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:survey.coding.version 0..1 string Version of the system - if relevant
Observation.Slices for category.category:survey.coding.code 1..1 code Symbol in syntax defined by the system
Fixed Value: survey
Observation.Slices for category.category:survey.coding.display 0..1 string Representation defined by the system
Observation.Slices for category.category:survey.coding.userSelected 0..1 boolean If this coding was chosen directly by the user
Observation.Slices for category.category:survey.text 0..1 string Plain text representation of the concept
Observation.Slices for category.category:twcore This element must be supported. 0..* CodeableConcept Classification of type of observation
Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (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 觀察測量項目
Binding: LOINC篩檢與評估值集 (preferred)
Observation.subject This element must be supported. This element is included in summaries. 1..1 Reference(TW Core Patient | TW Core Location | Group | Device) 受測者
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(Encounter) Healthcare event during which this observation is made
Observation.Slices for effective[x] This element must be supported. This element is included in summaries. C 0..1 生效時間
Slice: Unordered, Closed by type:$this
Constraints: tw-core-3
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Observation.Slices for effective[x].effectiveDateTime dateTime This target must be supported.
Observation.Slices for effective[x].effectivePeriod Period
Observation.Slices for effective[x].effectiveTiming Timing
Observation.Slices for effective[x].effectiveInstant instant
Observation.Slices for effective[x].effective[x]:effectiveDateTime This element must be supported. This element is included in summaries. C 0..1 dateTime This type must be supported. 觀察時間
Constraints: tw-core-3
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 | TW Core RelatedPerson) 執行者
Observation.value[x] This element must be supported. This element is included in summaries. C 0..1 觀察值
Constraints: tw-core-5
Observation.value[x].valueQuantity Quantity This type must be supported.
Observation.value[x].valueCodeableConcept CodeableConcept This type must be supported.
Observation.value[x].valueString string This target must be supported.
Observation.value[x].valueBoolean boolean
Observation.value[x].valueInteger integer
Observation.value[x].valueRange Range
Observation.value[x].valueRatio Ratio
Observation.value[x].valueSampledData SampledData
Observation.value[x].valueTime time
Observation.value[x].valueDateTime dateTime
Observation.value[x].valuePeriod Period
Observation.dataAbsentReason This element must be supported. C 0..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 缺失資料原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation 0..* CodeableConcept 結果判讀
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note 0..* Annotation 備註
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. 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 must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) 關聯成員
Observation.derivedFrom This element must be supported. This element is included in summaries. 0..* Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse This type must be supported. | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) 來源參照
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 preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:survey Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:twcore Base required 臺灣衛福部資訊處Observation Screening Assessment類型值集 📦0.3.0 臺灣核心實作指引 v1.0
Observation.code Base preferred LOINC篩檢與評估值集 📦2.81 臺灣核心實作指引 v1.0
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()
tw-core-3 error Observation.effective[x], Observation.effective[x]:effectiveDateTime, Observation.effective[x]:effectivePeriod, Observation.effective[x]:effectiveTiming, Observation.effective[x]:effectiveInstant Datetime must be at least to day. $this is dateTime implies $this.toString().length() >= 10
tw-core-4 error Observation If there is no component or hasMember element then either a value[x] or a data absent reason must be present. (component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
tw-core-5 error Observation.value[x] SHALL use UCUM for coded quantity units. ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'

This structure is derived from TWCoreObservationScreeningAssessment

Summary

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