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－中風分類評估
| Official URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeClinicalAssessment | Version: 0.1.0 | |||
| Draft as of 2026-10-07 | Computable Name: StrokeClinicalAssessment | |||
此 Profile 說明本 IG 如何進一步定義 FHIR 的 Observation Resource，以呈現本次中風的分類評估結果，包括中風類型、TOAST 分類、ICH 分數、Hunt and Hess 分級、心電圖心房顫動與中風前可否獨立生活。
記錄本次中風類型與病因分類、出血性中風嚴重度分級、心電圖心房顫動與中風前功能狀態。每個項目各建一筆 Observation，以 code 區分。同一來源、病人與項目在同一評估時點只建一筆。ICH 分數與 Hunt and Hess 分級若有評估日期，填入同筆 effectiveDateTime。正式診斷碼另用 StrokeCondition。
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-ecg-atrial-fibrillation-example, Observation/stroke-pre-stroke-independent-example and Observation/stroke-toast-classification-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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  Observation |
C | 0..* | TWCoreObservationScreeningAssessment | 健康狀態篩檢與評估 Constraints: obs-6, obs-7, tw-core-4 |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
   extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation. | |
 Slices for category |
1..* | CodeableConceptTW  |
類別 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
  id |
0..1 | string | Unique id for inter-element referencing | |
 extension |
0..* | Extension | Additional content defined by implementations | |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |
| display |
0..1 | string | Representation defined by the system | |
 userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
 text |
0..1 | string | Plain text representation of the concept | |
| category:twcore |
0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (required) | |
| code |
1..1 | CodeableConceptTW |
評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |
| coding |
1..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
 subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| effective[x] |
C | 0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: tw-core-3 |
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam | TW Core RelatedPerson) | 執行者 | |
| Slices for value[x] |
C | 0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
 valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) Constraints: tw-core-5 |
| value[x]:valueBoolean |
C | 0..1 | boolean | 是否符合此項目。[true＝是，false＝否] Constraints: tw-core-5 |
| value[x]:valueString |
C | 0..1 | string | 文字結果。[原樣填入來源內容] Constraints: tw-core-5 |
| dataAbsentReason |
C | 0..1 | CodeableConceptTW |
缺值原因。[本 Profile 不需填寫] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| hasMember |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) | 關聯成員 | |
| derivedFrom |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) | 來源參照 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:survey | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:twcore | Base | required | 臺灣衛福部資訊處Observation Screening Assessment類型值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
| Observation.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()
|
| tw-core-3 | error | Observation.effective[x] | Datetime must be at least to day. |
$this is dateTime implies $this.toString().length() >= 10
|
| tw-core-4 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| tw-core-5 | error | Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueBoolean, Observation.value[x]:valueString | SHALL use UCUM for coded quantity units. |
ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'
|
This structure is derived from TWCoreObservationScreeningAssessment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
TWCoreObservationScreeningAssessment | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |
 status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] | |
| Slices for category |
Content/Rules for all slices | |||
| category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] | |
| code |
1..1 | CodeableConceptTW | 評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |
 coding |
1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 | |
 system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| effective[x] |
0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for value[x] |
0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) | |
| value[x]:valueBoolean |
0..1 | boolean | 是否符合此項目。[true＝是，false＝否] | |
| value[x]:valueString |
0..1 | string | 文字結果。[原樣填入來源內容] | |
| dataAbsentReason |
0..1 | CodeableConceptTW | 缺值原因。[本 Profile 不需填寫] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationScreeningAssessment | 健康狀態篩檢與評估 Constraints: obs-6, obs-7, tw-core-4 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||
| status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||
| Slices for category |
1..* | CodeableConceptTW |
類別 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:twcore |
0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (required) | |||||
| code |
1..1 | CodeableConceptTW |
評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |||||
| effective[x] |
C | 0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: tw-core-3 | ||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam | TW Core RelatedPerson) | 執行者 | |||||
| Slices for value[x] |
C | 0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) Constraints: tw-core-5 | ||||
| value[x]:valueBoolean |
C | 0..1 | boolean | 是否符合此項目。[true＝是，false＝否] Constraints: tw-core-5 | ||||
| value[x]:valueString |
C | 0..1 | string | 文字結果。[原樣填入來源內容] Constraints: tw-core-5 | ||||
| dataAbsentReason |
C | 0..1 | CodeableConceptTW |
缺值原因。[本 Profile 不需填寫] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) | 關聯成員 | |||||
| derivedFrom |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) | 來源參照 | |||||
| component |
0..* | BackboneElement | Component results | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||
 value[x] |
0..1 | Actual component result | ||||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:survey | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:twcore | Base | required | 臺灣衛福部資訊處Observation Screening Assessment類型值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tw-core-3 | error | Observation.effective[x] | Datetime must be at least to day. |
$this is dateTime implies $this.toString().length() >= 10
|
| tw-core-4 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| tw-core-5 | error | Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueBoolean, Observation.value[x]:valueString | SHALL use UCUM for coded quantity units. |
ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'
|
This structure is derived from TWCoreObservationScreeningAssessment
Summary
Mandatory: 3 elements
Must-Support: 2 elements
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)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Observation.value[x]
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationScreeningAssessment | 健康狀態篩檢與評估 Constraints: obs-6, obs-7, tw-core-4 |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation. | |
| Slices for category |
1..* | CodeableConceptTW |
類別 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..* | Extension | Additional content defined by implementations | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |
| display |
0..1 | string | Representation defined by the system | |
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |
| text |
0..1 | string | Plain text representation of the concept | |
| category:twcore |
0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (required) | |
| code |
1..1 | CodeableConceptTW |
評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |
| coding |
1..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |
| display |
0..1 | string | 由系統定義的表示法 | |
| text |
0..1 | string | 概念的文字表示法 | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| effective[x] |
C | 0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: tw-core-3 |
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam | TW Core RelatedPerson) | 執行者 | |
| Slices for value[x] |
C | 0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) Constraints: tw-core-5 |
| value[x]:valueBoolean |
C | 0..1 | boolean | 是否符合此項目。[true＝是，false＝否] Constraints: tw-core-5 |
| value[x]:valueString |
C | 0..1 | string | 文字結果。[原樣填入來源內容] Constraints: tw-core-5 |
| dataAbsentReason |
C | 0..1 | CodeableConceptTW |
缺值原因。[本 Profile 不需填寫] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. |
| hasMember |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) | 關聯成員 | |
| derivedFrom |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) | 來源參照 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:survey | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:twcore | Base | required | 臺灣衛福部資訊處Observation Screening Assessment類型值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
| Observation.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()
|
| tw-core-3 | error | Observation.effective[x] | Datetime must be at least to day. |
$this is dateTime implies $this.toString().length() >= 10
|
| tw-core-4 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| tw-core-5 | error | Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueBoolean, Observation.value[x]:valueString | SHALL use UCUM for coded quantity units. |
ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'
|
Differential View
This structure is derived from TWCoreObservationScreeningAssessment
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Observation |
TWCoreObservationScreeningAssessment | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |
| extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |
| status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] | |
| Slices for category |
Content/Rules for all slices | |||
| category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] | |
| code |
1..1 | CodeableConceptTW | 評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |
| coding |
1..1 | CodingTW | 由專門術語系統（terminology system）定義的代碼 | |
| system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |
| effective[x] |
0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] | |
| Slices for value[x] |
0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| valueCodeableConcept |
CodeableConcept | |||
| valueString |
string | |||
| valueBoolean |
boolean | |||
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) | |
| value[x]:valueBoolean |
0..1 | boolean | 是否符合此項目。[true＝是，false＝否] | |
| value[x]:valueString |
0..1 | string | 文字結果。[原樣填入來源內容] | |
| dataAbsentReason |
0..1 | CodeableConceptTW | 缺值原因。[本 Profile 不需填寫] | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Observation |
C | 0..* | TWCoreObservationScreeningAssessment | 健康狀態篩檢與評估 Constraints: obs-6, obs-7, tw-core-4 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| extension:assessmentPhase |
0..1 | code | 評估時點。[選填，應填入 StrokeAssessmentPhaseVS 的代碼] URL: http://vgh-stroke-ig.fhir.tw/StructureDefinition/assessment-phase Binding: 腦中風－評估時點值集 (required) | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | Business Identifier for observation | |||||
| basedOn |
0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Fulfills plan, proposal or order | |||||
| partOf |
0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event | |||||
| status |
1..1 | code | 結果狀態。[應填入 final、amended 或 unknown] Binding: ObservationStatus (required): Codes providing the status of an observation. | |||||
| Slices for category |
1..* | CodeableConceptTW |
類別 Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:survey |
1..1 | CodeableConcept | 類別：調查評估。[固定填入 survey] Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category:twcore |
0..* | CodeableConcept | Classification of type of observation Binding: 臺灣衛福部資訊處Observation Screening Assessment類型值集 (required) | |||||
| code |
1..1 | CodeableConceptTW |
評估項目。[應填入 StrokeClinicalAssessmentCodeVS 的代碼] Binding: 腦中風－中風分類評估項目值集 (required) | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| coding |
1..1 | CodingTW |
由專門術語系統（terminology system）定義的代碼 | |||||
| id |
0..1 | string | 唯一可識別ID，以供資料項目間相互參照。 | |||||
| extension |
0..* | Extension | 擴充的資料項目 Slice: Unordered, Open by value:url | |||||
| system |
1..1 | uri | 代碼系統。[固定填入 StrokeObservationCS 的 URL] Required Pattern: http://vgh-stroke-ig.fhir.tw/CodeSystem/stroke-observation | |||||
| version |
0..1 | string | 系統的版本—如果相關的話 | |||||
| code |
1..1 | code | 項目代碼。[例如 toast-classification] | |||||
| display |
0..1 | string | 由系統定義的表示法 | |||||
| userSelected |
0..1 | boolean | 此編碼是否由使用者直接選擇？ | |||||
| text |
0..1 | string | 概念的文字表示法 | |||||
| subject |
1..1 | Reference(腦中風－病人基本資料) | 病人。[應參照 StrokePatient] | |||||
| focus |
0..* | Reference(Resource) | What the observation is about, when it is not about the subject of record | |||||
| encounter |
0..1 | Reference(腦中風－就醫事件) | 就醫事件。[應參照 StrokeEncounter] | |||||
| effective[x] |
C | 0..1 | dateTime | 評估日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區] Constraints: tw-core-3 | ||||
| issued |
0..1 | instant | Date/Time this version was made available | |||||
| performer |
0..* | Reference(TW Core Practitioner | TW Core Organization | TW Core Patient | TW Core PractitionerRole | TW Core CareTeam | TW Core RelatedPerson) | 執行者 | |||||
| Slices for value[x] |
C | 0..1 | 評估結果。[依 code 填入 valueCodeableConcept、valueBoolean 或 valueString] Slice: Unordered, Closed by type:$this Constraints: tw-core-5 Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| value[x]:valueCodeableConcept |
C | 0..1 | CodeableConcept | TOAST 分類代碼。[應填入 StrokeClinicalAssessmentAnswerVS 的代碼] Binding: 腦中風－中風分類評估答案值集 (required) Constraints: tw-core-5 | ||||
| value[x]:valueBoolean |
C | 0..1 | boolean | 是否符合此項目。[true＝是，false＝否] Constraints: tw-core-5 | ||||
| value[x]:valueString |
C | 0..1 | string | 文字結果。[原樣填入來源內容] Constraints: tw-core-5 | ||||
| dataAbsentReason |
C | 0..1 | CodeableConceptTW |
缺值原因。[本 Profile 不需填寫] Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| note |
0..* | Annotation | Comments about the observation | |||||
| bodySite |
0..1 | CodeableConcept | Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | |||||
| method |
0..1 | CodeableConcept | How it was done Binding: ObservationMethods (example): Methods for simple observations. | |||||
| specimen |
0..1 | Reference(Specimen) | Specimen used for this observation | |||||
| device |
0..1 | Reference(Device | DeviceMetric) | (Measurement) Device | |||||
| referenceRange |
C | 0..* | BackboneElement | Provides guide for interpretation Constraints: obs-3 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| low |
C | 0..1 | SimpleQuantity(4.0.1) | Low Range, if relevant Constraints: sqty-1 | ||||
| high |
C | 0..1 | SimpleQuantity(4.0.1) | High Range, if relevant Constraints: sqty-1 | ||||
| type |
0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range. | |||||
| appliesTo |
0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to. | |||||
| age |
0..1 | Range | Applicable age range, if relevant | |||||
| text |
0..1 | string | Text based reference range in an observation | |||||
| hasMember |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | MolecularSequence) | 關聯成員 | |||||
| derivedFrom |
0..* | Reference(TW Core Observation Screening Assessment | TW Core QuestionnaireResponse | TW Core DocumentReference | ImagingStudy | Media | MolecularSequence) | 來源參照 | |||||
| component |
0..* | BackboneElement | Component results | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations. | |||||
| value[x] |
0..1 | Actual component result | ||||||
| valueQuantity |
Quantity | |||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueString |
string | |||||||
| valueBoolean |
boolean | |||||||
| valueInteger |
integer | |||||||
| valueRange |
Range | |||||||
| valueRatio |
Ratio | |||||||
| valueSampledData |
SampledData | |||||||
| valueTime |
time | |||||||
| valueDateTime |
dateTime | |||||||
| valuePeriod |
Period | |||||||
| dataAbsentReason |
C | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. | ||||
| interpretation |
0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations. | |||||
| referenceRange |
0..* | See referenceRange (Observation) | Provides guide for interpretation of component result | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Observation.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Observation.status | Base | required | ObservationStatus | 📍4.0.1 | FHIR Std. |
| Observation.category | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:survey | Base | preferred | Observation Category Codes | 📍4.0.1 | FHIR Std. |
| Observation.category:twcore | Base | required | 臺灣衛福部資訊處Observation Screening Assessment類型值集 | 📦0.3.0 | 臺灣核心實作指引 v1.0 |
| Observation.code | Base | required | 腦中風－中風分類評估項目值集 | 📦0.1.0 | This IG |
| Observation.value[x]:valueCodeableConcept | Base | required | 腦中風－中風分類評估答案值集 | 📦0.1.0 | This IG |
| Observation.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
| Observation.bodySite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std. |
| Observation.method | Base | example | Observation Methods | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.type | Base | preferred | Observation Reference Range Meaning Codes | 📍4.0.1 | FHIR Std. |
| Observation.referenceRange.appliesTo | Base | example | Observation Reference Range Applies To Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.code | Base | example | LOINC Codes | 📍4.0.1 | FHIR Std. |
| Observation.component.dataAbsentReason | Base | extensible | DataAbsentReason | 📍4.0.1 | FHIR Std. |
| Observation.component.interpretation | Base | extensible | Observation Interpretation Codes | 📍4.0.1 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Observation | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Observation | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | Observation | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Observation | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| obs-3 | error | Observation.referenceRange | Must have at least a low or a high or text |
low.exists() or high.exists() or text.exists()
|
| obs-6 | error | Observation | dataAbsentReason SHALL only be present if Observation.value[x] is not present |
dataAbsentReason.empty() or value.empty()
|
| obs-7 | error | Observation | If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present |
value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
|
| sqty-1 | error | Observation.referenceRange.low, Observation.referenceRange.high | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| tw-core-3 | error | Observation.effective[x] | Datetime must be at least to day. |
$this is dateTime implies $this.toString().length() >= 10
|
| tw-core-4 | error | Observation | If there is no component or hasMember element then either a value[x] or a data absent reason must be present. |
(component.empty() and hasMember.empty()) implies (dataAbsentReason.exists() or value.exists())
|
| tw-core-5 | error | Observation.value[x], Observation.value[x]:valueCodeableConcept, Observation.value[x]:valueBoolean, Observation.value[x]:valueString | SHALL use UCUM for coded quantity units. |
ofType(Quantity).system.empty() or ofType(Quantity).system = 'http://unitsofmeasure.org'
|
This structure is derived from TWCoreObservationScreeningAssessment
Summary
Mandatory: 3 elements
Must-Support: 2 elements
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)
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
- The element 1 is sliced based on the value of Observation.value[x]
Other representations of profile: CSV, Excel, Schematron