臺灣榮總腦中風實作指引(TW VGH Stroke IG)
0.1.0 - ci-build

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

Resource Profile: 腦中風-體溫

Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeBodyTemperature Version: 0.1.0
Draft as of 2026-10-07 Computable Name: StrokeBodyTemperature

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體溫。代碼沿用 TW Core 生命徵象 Profile 的規定,單位限用 Cel。

記錄病人到院時測得的體溫。一筆 Observation 代表一次測量。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。若沒有實際測量時間、單位未確認,或數值意義待確認,不建立本 Resource,原始值保留在 StrokeRegistryResponse。

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationBodyTemperature 體溫測量結果
Constraints: obs-6, obs-7, vs-2
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.modifierExtension This element is a modifier element. 0..* Extension 能修改所包含資料項目解釋的擴充資料項目
Observation.status This element is a modifier element. This element must be supported. 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 This element must be supported. 1..* CodeableConcept Observation 的分類
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 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 This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system This element must be supported. 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 This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 體溫。[固定為 LOINC 8310-5]
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding This element is included in summaries. 1..1 Coding 用於識別觀察結果的編碼
Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BodyTempCode This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:BodyTempCode.system 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:BodyTempCode.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 8310-5
Observation.subject This element must be supported. 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 This element must be supported. 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] This element must be supported. 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] This element must be supported. 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.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. 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 value[x].value[x]:valueQuantity.unit This element must be supported. This element is included in summaries. 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri 定義單位的系統
Fixed Value: http://unitsofmeasure.org
Observation.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code UCUM 單位代碼。[固定為 Cel]
Binding: BodyTemperatureUnits (required): Common UCUM units for Body Temperature.
Required Pattern: Cel
Observation.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component This element must be supported. This element is included in summaries. C 0..* BackboneElement Observation 的組成部分
Constraints: vs-3
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 組成部分的觀察代碼
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] This element must be supported. This element is included in summaries. C 0..1 組成部分的實際觀察結果
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 觀察結果缺失的原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from TWCoreObservationBodyTemperature

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationBodyTemperature 體溫測量結果
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 體溫。[固定為 LOINC 8310-5]
Observation.encounter 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.Slices for value[x] Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.value 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.unit 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.code 1..1 code UCUM 單位代碼。[固定為 Cel]
Required Pattern: Cel
Observation.dataAbsentReason 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationBodyTemperature 體溫測量結果
Constraints: obs-6, obs-7, vs-2
Observation.id This element is included in summaries. 0..1 id 不重複的 ID 用以識別儲存在特定 FHIR Server 中的 Observation 紀錄,通常又稱為邏輯性 ID。
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension 能修改所包含資料項目解釋的擴充資料項目
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 履行或延伸的資源
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為父資源的一部分
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 結果狀態。[通常填 final;無法確認時填 unknown]
Binding: ObservationStatus (required)
Observation.Slices for category This element must be supported. 1..* CodeableConcept Observation 的分類
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 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 This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code This element must be supported. 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 This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected 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 This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 體溫。[固定為 LOINC 8310-5]
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 This element is included in summaries. 1..1 Coding 用於識別觀察結果的編碼
Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BodyTempCode This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:BodyTempCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BodyTempCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BodyTempCode.system 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:BodyTempCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:BodyTempCode.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 8310-5
Observation.code.Slices for coding.coding:BodyTempCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:BodyTempCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element must be supported. 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 This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element must be supported. 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] This element must be supported. 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 This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行此 Observation 的人員或組織
Observation.Slices for value[x] This element must be supported. 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.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. 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 value[x].value[x]:valueQuantity.unit This element must be supported. This element is included in summaries. 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri 定義單位的系統
Fixed Value: http://unitsofmeasure.org
Observation.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code UCUM 單位代碼。[固定為 Cel]
Binding: BodyTemperatureUnits (required): Common UCUM units for Body Temperature.
Required Pattern: Cel
Observation.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]
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 (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(TW Core Specimen) 與此 Observation 相關的檢體
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 此 Observation 包含的成員 Observation
Observation.derivedFrom 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) 此 Observation 衍生自的資源
Observation.component This element must be supported. This element is included in summaries. C 0..* BackboneElement Observation 的組成部分
Constraints: vs-3
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 組成部分的觀察代碼
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] This element must be supported. This element is included in summaries. C 0..1 組成部分的實際觀察結果
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 觀察結果缺失的原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required Body Temperature Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationBodyTemperature 體溫測量結果
Constraints: obs-6, obs-7, vs-2
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.modifierExtension This element is a modifier element. 0..* Extension 能修改所包含資料項目解釋的擴充資料項目
Observation.status This element is a modifier element. This element must be supported. 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 This element must be supported. 1..* CodeableConcept Observation 的分類
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 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 This element must be supported. This element is included in summaries. 1..* Coding Code defined by a terminology system
Observation.Slices for category.category:VSCat.coding.system This element must be supported. 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 This element must be supported. This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: vital-signs
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 體溫。[固定為 LOINC 8310-5]
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.code.Slices for coding This element is included in summaries. 1..1 Coding 用於識別觀察結果的編碼
Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BodyTempCode This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:BodyTempCode.system 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:BodyTempCode.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 8310-5
Observation.subject This element must be supported. 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 This element must be supported. 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] This element must be supported. 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] This element must be supported. 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.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. 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 value[x].value[x]:valueQuantity.unit This element must be supported. This element is included in summaries. 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri 定義單位的系統
Fixed Value: http://unitsofmeasure.org
Observation.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code UCUM 單位代碼。[固定為 Cel]
Binding: BodyTemperatureUnits (required): Common UCUM units for Body Temperature.
Required Pattern: Cel
Observation.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component This element must be supported. This element is included in summaries. C 0..* BackboneElement Observation 的組成部分
Constraints: vs-3
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 組成部分的觀察代碼
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] This element must be supported. This element is included in summaries. C 0..1 組成部分的實際觀察結果
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 觀察結果缺失的原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

doco Documentation for this format

Terminology Bindings

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

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation 0..* TWCoreObservationBodyTemperature 體溫測量結果
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 體溫。[固定為 LOINC 8310-5]
Observation.subject 1..1 Reference(腦中風-病人基本資料) 病人。[應參照 StrokePatient]
Observation.encounter 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.Slices for value[x] Content/Rules for all slices
Observation.Slices for value[x].value[x]:valueQuantity 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.value 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.unit 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.code 1..1 code UCUM 單位代碼。[固定為 Cel]
Required Pattern: Cel
Observation.dataAbsentReason 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: doco
Observation C 0..* TWCoreObservationBodyTemperature 體溫測量結果
Constraints: obs-6, obs-7, vs-2
Observation.id This element is included in summaries. 0..1 id 不重複的 ID 用以識別儲存在特定 FHIR Server 中的 Observation 紀錄,通常又稱為邏輯性 ID。
Observation.meta This element is included in summaries. 0..1 Meta Metadata about the resource
Observation.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri 創建此內容所依據的一組規則
Observation.language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
Observation.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Observation.contained 0..* Resource Contained, inline Resources
Observation.extension 0..* Extension Additional content defined by implementations
Observation.modifierExtension This element is a modifier element. 0..* Extension 能修改所包含資料項目解釋的擴充資料項目
Observation.identifier This element is included in summaries. 0..* Identifier Business Identifier for observation
Observation.basedOn This element is included in summaries. 0..* Reference(TW Core CarePlan | DeviceRequest | ImmunizationRecommendation | TW Core MedicationRequest | NutritionOrder | TW Core ServiceRequest) 履行或延伸的資源
Observation.partOf This element is included in summaries. 0..* Reference(MedicationAdministration | TW Core MedicationDispense | TW Core MedicationStatement | TW Core Procedure | TW Core Immunization | TW Core ImagingStudy) 作為父資源的一部分
Observation.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code 結果狀態。[通常填 final;無法確認時填 unknown]
Binding: ObservationStatus (required)
Observation.Slices for category This element must be supported. 1..* CodeableConcept Observation 的分類
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 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 This element must be supported. 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 This element must be supported. 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 This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.Slices for category.category:VSCat.coding.code This element must be supported. 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 This element is included in summaries. 0..1 string Representation defined by the system
Observation.Slices for category.category:VSCat.coding.userSelected 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 This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.code This element must be supported. This element is included in summaries. 1..1 CodeableConceptTW The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well 體溫。[固定為 LOINC 8310-5]
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 This element is included in summaries. 1..1 Coding 用於識別觀察結果的編碼
Slice: Unordered, Open by value:code, value:system
Observation.code.Slices for coding.coding:BodyTempCode This element is included in summaries. 1..1 Coding Code defined by a terminology system
Observation.code.Slices for coding.coding:BodyTempCode.id 0..1 string Unique id for inter-element referencing
Observation.code.Slices for coding.coding:BodyTempCode.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.code.Slices for coding.coding:BodyTempCode.system 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:BodyTempCode.version This element is included in summaries. 0..1 string Version of the system - if relevant
Observation.code.Slices for coding.coding:BodyTempCode.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Fixed Value: 8310-5
Observation.code.Slices for coding.coding:BodyTempCode.display This element is included in summaries. 0..1 string Representation defined by the system
Observation.code.Slices for coding.coding:BodyTempCode.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user
Observation.code.text This element is included in summaries. 0..1 string Plain text representation of the concept
Observation.subject This element must be supported. 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 This element is included in summaries. 0..* Reference(Resource) What the observation is about, when it is not about the subject of record
Observation.encounter This element must be supported. 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] This element must be supported. 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 This element is included in summaries. 0..1 instant Date/Time this version was made available
Observation.performer This element is included in summaries. 0..* Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam) 執行此 Observation 的人員或組織
Observation.Slices for value[x] This element must be supported. 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.Slices for value[x].value[x]:valueQuantity This element must be supported. This element is included in summaries. C 0..1 Quantity 體溫數值。[單位 Cel]
Observation.Slices for value[x].value[x]:valueQuantity.id 0..1 string Unique id for inter-element referencing
Observation.Slices for value[x].value[x]:valueQuantity.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Observation.Slices for value[x].value[x]:valueQuantity.value This element must be supported. This element is included in summaries. 1..1 decimal 體溫數值。[例如 36.8]
Observation.Slices for value[x].value[x]:valueQuantity.comparator This element is a modifier element. 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 value[x].value[x]:valueQuantity.unit This element must be supported. This element is included in summaries. 1..1 string 單位顯示文字。[填 °C]
Observation.Slices for value[x].value[x]:valueQuantity.system This element must be supported. This element is included in summaries. C 1..1 uri 定義單位的系統
Fixed Value: http://unitsofmeasure.org
Observation.Slices for value[x].value[x]:valueQuantity.code This element must be supported. This element is included in summaries. 1..1 code UCUM 單位代碼。[固定為 Cel]
Binding: BodyTemperatureUnits (required): Common UCUM units for Body Temperature.
Required Pattern: Cel
Observation.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 缺值原因。[來源有記載缺值原因才填]
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 (example): Codes describing anatomical locations. May include laterality.
Observation.method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.
Observation.specimen 0..1 Reference(TW Core Specimen) 與此 Observation 相關的檢體
Observation.device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
Observation.referenceRange C 0..* BackboneElement Provides guide for interpretation
Constraints: obs-3
Observation.referenceRange.id 0..1 string Unique id for inter-element referencing
Observation.referenceRange.extension 0..* Extension Additional content defined by implementations
Observation.referenceRange.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.referenceRange.low C 0..1 SimpleQuantity(4.0.1) Low Range, if relevant
Constraints: sqty-1
Observation.referenceRange.high C 0..1 SimpleQuantity(4.0.1) High Range, if relevant
Constraints: sqty-1
Observation.referenceRange.type 0..1 CodeableConcept Reference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
Observation.referenceRange.appliesTo 0..* CodeableConcept Reference range population
Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
Observation.referenceRange.age 0..1 Range Applicable age range, if relevant
Observation.referenceRange.text 0..1 string Text based reference range in an observation
Observation.hasMember This element is included in summaries. 0..* Reference(TW Core Observation Vital Signs | TW Core QuestionnaireResponse | MolecularSequence) 此 Observation 包含的成員 Observation
Observation.derivedFrom 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) 此 Observation 衍生自的資源
Observation.component This element must be supported. This element is included in summaries. C 0..* BackboneElement Observation 的組成部分
Constraints: vs-3
Observation.component.id 0..1 string Unique id for inter-element referencing
Observation.component.extension 0..* Extension Additional content defined by implementations
Observation.component.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Observation.component.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept 組成部分的觀察代碼
Binding: VitalSigns (extensible): This identifies the vital sign result type.
Observation.component.value[x] This element must be supported. This element is included in summaries. C 0..1 組成部分的實際觀察結果
Binding: VitalSignsUnits (extensible): Common UCUM units for recording Vital Signs.
Observation.component.value[x].valueQuantity Quantity
Observation.component.value[x].valueCodeableConcept CodeableConcept
Observation.component.value[x].valueString string
Observation.component.value[x].valueBoolean boolean
Observation.component.value[x].valueInteger integer
Observation.component.value[x].valueRange Range
Observation.component.value[x].valueRatio Ratio
Observation.component.value[x].valueSampledData SampledData
Observation.component.value[x].valueTime time
Observation.component.value[x].valueDateTime dateTime
Observation.component.value[x].valuePeriod Period
Observation.component.dataAbsentReason This element must be supported. C 0..1 CodeableConcept 觀察結果缺失的原因
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
Observation.component.interpretation 0..* CodeableConcept High, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Observation.component.referenceRange 0..* See referenceRange (Observation) Provides guide for interpretation of component result

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Observation.status Base required ObservationStatus 📍4.0.1 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.category:VSCat Base preferred Observation Category Codes 📍4.0.1 FHIR Std.
Observation.code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
Observation.value[x]:valueQuantity.​code Base required Body Temperature Units 📍4.0.1 FHIR Std.
Observation.dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.
Observation.bodySite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
Observation.method Base example Observation Methods 📍4.0.1 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍4.0.1 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍4.0.1 FHIR Std.
Observation.component.​code Base extensible Vital Signs 📍4.0.1 FHIR Std.
Observation.component.​value[x] Base extensible Vital Signs Units 📍4.0.1 FHIR Std.
Observation.component.​dataAbsentReason Base extensible DataAbsentReason 📍4.0.1 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍4.0.1 FHIR Std.

Constraints

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

 

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