臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

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

Resource Profile: 腦中風－血壓

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現腦中風病人到院時測得的血壓。代碼與單位沿用 TW Core 生命徵象 Profile 的規定，收縮壓與舒張壓放在同一筆 Observation 的兩個 component。

記錄病人到院時測得的收縮壓與舒張壓。一筆 Observation 代表一次血壓測量。同一來源、同一病人、同一測量時間（依來源記錄的日期與時間判定，包含時區確認前只保存在原始值題目或 StrokeEventTimeOnly 的時間）只建立一筆；不同來源各自建立。若收縮壓與舒張壓都沒有數值、沒有實際測量時間，或單位未確認，不建立本 Resource，原始值保留在 StrokeRegistryResponse。

Usages:

• Use this Profile: 腦中風－個管系統個案資料包 and 腦中風－EVT 登錄個案資料包
• Examples for this Profile: Observation/stroke-blood-pressure-diastolic-missing-example and Observation/stroke-blood-pressure-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:VSCat	S This element must be supported.	1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: vs-1
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	整筆缺值原因。[通常不填] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	收縮壓與舒張壓 Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	收縮壓 Constraints: vs-3
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	收縮壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	舒張壓 Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	舒張壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP	If there is no a value a data absent reason must be present	value.exists() or dataAbsentReason.exists()

This structure is derived from TWCoreObservationBloodPressure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile
Observation.status		1..1	code	結果狀態。[通常填 final；無法確認時填 unknown]
Observation.Slices for category				Content/Rules for all slices
Observation.Slices for category.category:VSCat		1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs]
Observation.code		1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9]
Observation.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]		1..1	dateTime, Period	測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.dataAbsentReason		0..1	CodeableConcept	整筆缺值原因。[通常不填]
Observation.component		2..*	BackboneElement	收縮壓與舒張壓
Observation.Slices for component				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP		1..1	BackboneElement	收縮壓
Observation.Slices for component.component:SystolicBP.code		1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6]
Observation.Slices for component.component:SystolicBP.value[x]		0..1	Quantity	收縮壓數值。[單位 mm[Hg]]
Observation.Slices for component.component:SystolicBP.value[x].value		1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].unit		1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].code		1..1	code	UCUM 單位代碼。[固定為 mm[Hg]]
Observation.Slices for component.component:SystolicBP.dataAbsentReason		0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown]
Observation.Slices for component.component:DiastolicBP		1..1	BackboneElement	舒張壓
Observation.Slices for component.component:DiastolicBP.code		1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4]
Observation.Slices for component.component:DiastolicBP.value[x]		0..1	Quantity	舒張壓數值。[單位 mm[Hg]]
Observation.Slices for component.component:DiastolicBP.value[x].value		1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].unit		1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].code		1..1	code	UCUM 單位代碼。[固定為 mm[Hg]]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason		0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.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	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:VSCat	S This element must be supported.	1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.code.Slices for coding.coding:BPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:BPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: vs-1
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	整筆缺值原因。[通常不填] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(TW Core QuestionnaireResponse | MolecularSequence | TW Core Observation Vital Signs)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	收縮壓與舒張壓 Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	收縮壓 Constraints: vs-3
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:SystolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	收縮壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	舒張壓 Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:DiastolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	舒張壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	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	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP	If there is no a value a data absent reason must be present	value.exists() or dataAbsentReason.exists()

This structure is derived from TWCoreObservationBloodPressure

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:VSCat	S This element must be supported.	1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: vs-1
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	整筆缺值原因。[通常不填] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	收縮壓與舒張壓 Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	收縮壓 Constraints: vs-3
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	收縮壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	舒張壓 Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	舒張壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP	If there is no a value a data absent reason must be present	value.exists() or dataAbsentReason.exists()

Differential View

This structure is derived from TWCoreObservationBloodPressure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile
Observation.status		1..1	code	結果狀態。[通常填 final；無法確認時填 unknown]
Observation.Slices for category				Content/Rules for all slices
Observation.Slices for category.category:VSCat		1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs]
Observation.code		1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9]
Observation.subject		1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.encounter	S This element must be supported.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]		1..1	dateTime, Period	測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Observation.dataAbsentReason		0..1	CodeableConcept	整筆缺值原因。[通常不填]
Observation.component		2..*	BackboneElement	收縮壓與舒張壓
Observation.Slices for component				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP		1..1	BackboneElement	收縮壓
Observation.Slices for component.component:SystolicBP.code		1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6]
Observation.Slices for component.component:SystolicBP.value[x]		0..1	Quantity	收縮壓數值。[單位 mm[Hg]]
Observation.Slices for component.component:SystolicBP.value[x].value		1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].unit		1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].code		1..1	code	UCUM 單位代碼。[固定為 mm[Hg]]
Observation.Slices for component.component:SystolicBP.dataAbsentReason		0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown]
Observation.Slices for component.component:DiastolicBP		1..1	BackboneElement	舒張壓
Observation.Slices for component.component:DiastolicBP.code		1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4]
Observation.Slices for component.component:DiastolicBP.value[x]		0..1	Quantity	舒張壓數值。[單位 mm[Hg]]
Observation.Slices for component.component:DiastolicBP.value[x].value		1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].unit		1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].code		1..1	code	UCUM 單位代碼。[固定為 mm[Hg]]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason		0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown]
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	TWCoreObservationBloodPressure	FHIR Blood Pressure Profile Constraints: obs-6, obs-7, vs-2
Observation.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Observation.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Observation.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Observation.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Observation.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained		0..*	Resource	Contained, inline Resources
Observation.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	Σ This element is included in summaries.	0..*	Identifier	Business Identifier for observation
Observation.basedOn	Σ This element is included in summaries.	0..*	Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest)	Fulfills plan, proposal or order
Observation.partOf	Σ This element is included in summaries.	0..*	Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy)	Part of referenced event
Observation.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	結果狀態。[通常填 final；無法確認時填 unknown] Binding: ObservationStatus (required)
Observation.Slices for category	S This element must be supported.	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by value:coding.code, value:coding.system Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for category.category:VSCat	S This element must be supported.	1..1	CodeableConcept	生命徵象類別。[固定為 vital-signs] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Observation.Slices for category.category:VSCat.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding	S This element must be supported. Σ This element is included in summaries.	1..*	Coding	Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for category.category:VSCat.coding.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for category.category:VSCat.coding.system	S This element must be supported. Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
Observation.Slices for category.category:VSCat.coding.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code	S This element must be supported. Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: vital-signs
Observation.Slices for category.category:VSCat.coding.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for category.category:VSCat.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConceptTW	血壓組合。[固定為 LOINC 85354-9] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.id		0..1	string	Unique id for inter-element referencing
Observation.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BPCode	Σ This element is included in summaries.	1..1	Coding	Code defined by a terminology system
Observation.code.Slices for coding.coding:BPCode.id		0..1	string	Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.code.Slices for coding.coding:BPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.code.Slices for coding.coding:BPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 85354-9
Observation.code.Slices for coding.coding:BPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.code.Slices for coding.coding:BPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.subject	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Observation.focus	Σ This element is included in summaries.	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
Observation.encounter	S This element must be supported. Σ This element is included in summaries.	0..1	Reference(腦中風－就醫事件)	就醫事件。[應參照 StrokeEncounter]
Observation.effective[x]	S This element must be supported. Σ This element is included in summaries. C	1..1		測量時間。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: vs-1
Observation.effective[x].effectiveDateTime			dateTime
Observation.effective[x].effectivePeriod			Period
Observation.issued	Σ This element is included in summaries.	0..1	instant	Date/Time this version was made available
Observation.performer	Σ This element is included in summaries.	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Observation.Slices for value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept. Slice: Unordered, Closed by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	整筆缺值原因。[通常不填] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.note		0..*	Annotation	Comments about the observation
Observation.bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (extensible)
Observation.method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (extensible)
Observation.specimen		0..1	Reference(Specimen)	Specimen used for this observation
Observation.device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
Observation.referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Observation.referenceRange.id		0..1	string	Unique id for inter-element referencing
Observation.referenceRange.extension		0..*	Extension	Additional content defined by implementations
Observation.referenceRange.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low	C	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Constraints: sqty-1
Observation.referenceRange.high	C	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Constraints: sqty-1
Observation.referenceRange.type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age		0..1	Range	Applicable age range, if relevant
Observation.referenceRange.text		0..1	string	Text based reference range in an observation
Observation.hasMember	Σ This element is included in summaries.	0..*	Reference(TW Core QuestionnaireResponse | MolecularSequence | TW Core Observation Vital Signs)	Used when reporting vital signs panel components
Observation.derivedFrom	Σ This element is included in summaries.	0..*	Reference(TW Core DocumentReference | TW Core ImagingStudy | TW Core Media | TW Core QuestionnaireResponse | TW Core Observation Vital Signs | MolecularSequence)	Related measurements the observation is made from
Observation.Slices for component	S This element must be supported. Σ This element is included in summaries. C	2..*	BackboneElement	收縮壓與舒張壓 Slice: Unordered, Open by value:code.coding.code, value:code.coding.system Constraints: vs-3 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Observation.Slices for component.component:All Slices				Content/Rules for all slices
Observation.Slices for component.component:All Slices.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:All Slices.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:All Slices.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:All Slices.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	Type of component observation (code / type) Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:All Slices.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1		Vital Sign Value recorded with UCUM Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:All Slices.value[x].valueQuantity			Quantity
Observation.Slices for component.component:All Slices.value[x].valueCodeableConcept			CodeableConcept
Observation.Slices for component.component:All Slices.value[x].valueString			string
Observation.Slices for component.component:All Slices.value[x].valueBoolean			boolean
Observation.Slices for component.component:All Slices.value[x].valueInteger			integer
Observation.Slices for component.component:All Slices.value[x].valueRange			Range
Observation.Slices for component.component:All Slices.value[x].valueRatio			Ratio
Observation.Slices for component.component:All Slices.value[x].valueSampledData			SampledData
Observation.Slices for component.component:All Slices.value[x].valueTime			time
Observation.Slices for component.component:All Slices.value[x].valueDateTime			dateTime
Observation.Slices for component.component:All Slices.value[x].valuePeriod			Period
Observation.Slices for component.component:All Slices.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:All Slices.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:All Slices.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:SystolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	收縮壓 Constraints: vs-3
Observation.Slices for component.component:SystolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:SystolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:SystolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	收縮壓。[固定為 LOINC 8480-6] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:SystolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Systolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:SystolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode	Σ This element is included in summaries.	1..1	Coding	Systolic Blood Pressure
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8480-6
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:SystolicBP.code.Slices for coding.coding:SBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:SystolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:SystolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	收縮壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:SystolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:SystolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:SystolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	收縮壓數值。[例如 168]
Observation.Slices for component.component:SystolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:SystolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:SystolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:SystolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:SystolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	收縮壓缺值原因。[只有舒張壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:SystolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:SystolicBP.referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Observation.Slices for component.component:DiastolicBP	S This element must be supported. Σ This element is included in summaries. C	1..1	BackboneElement	舒張壓 Constraints: vs-3
Observation.Slices for component.component:DiastolicBP.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.extension		0..*	Extension	Additional content defined by implementations
Observation.Slices for component.component:DiastolicBP.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Observation.Slices for component.component:DiastolicBP.code	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	舒張壓。[固定為 LOINC 8462-4] Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.Slices for component.component:DiastolicBP.code.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding	Σ This element is included in summaries.	1..*	Coding	Diastolic Blood Pressure Slice: Unordered, Open by value:code, value:system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding				Content/Rules for all slices
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode	Σ This element is included in summaries.	1..1	Coding	Diastolic Blood Pressure
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.system	Σ This element is included in summaries.	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.version	Σ This element is included in summaries.	0..1	string	Version of the system - if relevant
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.code	Σ This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Fixed Value: 8462-4
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.display	Σ This element is included in summaries.	0..1	string	Representation defined by the system
Observation.Slices for component.component:DiastolicBP.code.Slices for coding.coding:DBPCode.userSelected	Σ This element is included in summaries.	0..1	boolean	If this coding was chosen directly by the user
Observation.Slices for component.component:DiastolicBP.code.text	Σ This element is included in summaries.	0..1	string	Plain text representation of the concept
Observation.Slices for component.component:DiastolicBP.value[x]	S This element must be supported. Σ This element is included in summaries. C	0..1	Quantity	舒張壓數值。[單位 mm[Hg]] Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.Slices for component.component:DiastolicBP.value[x].id		0..1	string	Unique id for inter-element referencing
Observation.Slices for component.component:DiastolicBP.value[x].extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Observation.Slices for component.component:DiastolicBP.value[x].value	S This element must be supported. Σ This element is included in summaries.	1..1	decimal	舒張壓數值。[例如 95]
Observation.Slices for component.component:DiastolicBP.value[x].comparator	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Observation.Slices for component.component:DiastolicBP.value[x].unit	S This element must be supported. Σ This element is included in summaries.	1..1	string	單位顯示文字。[填 mmHg]
Observation.Slices for component.component:DiastolicBP.value[x].system	S This element must be supported. Σ This element is included in summaries. C	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
Observation.Slices for component.component:DiastolicBP.value[x].code	S This element must be supported. Σ This element is included in summaries.	1..1	code	UCUM 單位代碼。[固定為 mm[Hg]] Fixed Value: mm[Hg]
Observation.Slices for component.component:DiastolicBP.dataAbsentReason	S This element must be supported. C	0..1	CodeableConcept	舒張壓缺值原因。[只有收縮壓時填 unknown] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.Slices for component.component:DiastolicBP.interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.Slices for component.component:DiastolicBP.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:VSCat	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.bodySite	Base	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	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:SystolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​code	Base	extensible	Vital Signs	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x]	Base	extensible	Vital Signs Units	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​value[x].comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component:DiastolicBP.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
sqty-1	error	Observation.referenceRange.low, Observation.referenceRange.high	The comparator is not used on a SimpleQuantity	comparator.empty()
vs-1	error	Observation.effective[x]	if Observation.effective[x] is dateTime and has a value then that value shall be precise to the day	$this is dateTime implies $this.toString().length() >= 10
vs-2	error	Observation	If there is no component or hasMember element then either a value[x] or a data absent reason must be present.	(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
vs-3	error	Observation.component, Observation.component:SystolicBP, Observation.component:DiastolicBP	If there is no a value a data absent reason must be present	value.exists() or dataAbsentReason.exists()

This structure is derived from TWCoreObservationBloodPressure

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－就醫事件 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeEncounter)